Healthcare Provider Details

I. General information

NPI: 1407318173
Provider Name (Legal Business Name): JASMINE BEEBE QUINN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JASMINE JENNIFER BEEBE DO

II. Dates (important events)

Enumeration Date: 04/02/2019
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19829 N 27TH AVE
PHOENIX AZ
85027-4001
US

IV. Provider business mailing address

19829 N 27TH AVE
PHOENIX AZ
85027-4001
US

V. Phone/Fax

Practice location:
  • Phone: 623-879-6100
  • Fax:
Mailing address:
  • Phone: 623-683-0142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number009584
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: