Provider Demographics
NPI:1205149325
Name:DORSEY, JASMINE ELAINE (MD)
Entity type:Individual
Prefix:DR
First Name:JASMINE
Middle Name:ELAINE
Last Name:DORSEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:363 FREMONT ST
Mailing Address - Street 2:SUITE 308 A&B
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49017-3389
Mailing Address - Country:US
Mailing Address - Phone:269-245-8393
Mailing Address - Fax:269-245-8394
Practice Address - Street 1:363 FREMONT ST
Practice Address - Street 2:SUITE 308 A&B
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49017-3389
Practice Address - Country:US
Practice Address - Phone:269-245-8393
Practice Address - Fax:269-245-8394
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-18
Last Update Date:2024-09-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301097346207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine