Individual
JASMINE JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3201 S MARYLAND PKWY STE 404, LAS VEGAS, NV 89109-2441
(702) 962-0000
(702) 962-0010
Mailing address
PO BOX 100744, ATLANTA, GA 30384-0744
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN002455
NV
363LC0200X
Critical Care Medicine Nurse Practitioner
APRN002455
NV
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN002455
NV
Other
Enumeration date
03/05/2017
Last updated
02/22/2023
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