# MS. JESSICA BLANCO ROGANDO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1891404836
- **Gender:** F
- **Credential:** FNP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | F07220485 | NV | Yes |
| 363LF0000X | Family Nurse Practitioner | 859027 | NV | — |

## Other

- **Enumeration date:** 11/17/2022
- **Last updated:** 12/20/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | F07220485 | F-NPC | NV |