Organization
JASMINE JAC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE JACOBS MSN, ACNP-BC. (PRESIDENT/OWNER)
(702) 884-5258
Entity
Organization
Contact information
Practice address
169 SHORT RUFF WAY, LAS VEGAS, NV 89148-5259
(702) 884-5258
Mailing address
5470 RENO CORPORATE DR, RENO, NV 89511-2250
(775) 657-0293
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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