Provider Demographics
NPI:1083925994
Name:PRIME, JASMINE AMENA (MD)
Entity Type:Individual
Prefix:DR
First Name:JASMINE
Middle Name:AMENA
Last Name:PRIME
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3500 SPRINGHILL DR
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72117-2950
Mailing Address - Country:US
Mailing Address - Phone:501-441-8000
Mailing Address - Fax:
Practice Address - Street 1:3500 SPRINGHILL DR
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72117-2950
Practice Address - Country:US
Practice Address - Phone:501-441-8000
Practice Address - Fax:501-441-8050
Is Sole Proprietor?:No
Enumeration Date:2010-06-24
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-8001207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine