Provider Demographics
NPI:1407428188
Name:JOSEPH, JASMINE DORISE (PA)
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:DORISE
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:PA
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Other - Credentials:
Mailing Address - Street 1:4300 N POINT PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-4102
Mailing Address - Country:US
Mailing Address - Phone:770-442-1911
Mailing Address - Fax:
Practice Address - Street 1:3790 PLEASANT HILL RD STE 170
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-5145
Practice Address - Country:US
Practice Address - Phone:707-360-1020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-13
Last Update Date:2023-06-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical