=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952247025
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JASMINE ADELE QUARTERMAN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/28/2026
-----------------------------------------------------
Last Update Date | 04/28/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4411 SW 34TH ST APT 202
-----------------------------------------------------
City | GAINESVILLE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32608-2563
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 904-235-9479
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4411 SW 34TH ST APT 202
-----------------------------------------------------
City | GAINESVILLE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32608-2563
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 904-235-9479
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 374J00000X
-----------------------------------------------------
Taxonomy Name | Doula
-----------------------------------------------------
License Number | CTACC326402
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------