Individual provider · Type 1 NPI
Jasmine Jacob, APRN
Gerontology Nurse Practitioner · Las Vegas, NV
NPI number
1255871604
Active
Practice location
3201 S Maryland Pkwy Ste 404
Las Vegas, NV 89109-2441
Fax (702) 962-0010
Mailing address
PO Box 100744
Atlanta, GA 30384-0744
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | APRN002455 (NV) |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | APRN002455 (NV) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | APRN002455 (NV) |
Gerontology Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1255871604
Jasmine Jacob, APRN's National Provider Identifier is 1255871604, issued on Mar 5, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Las Vegas, NV. The record was last updated on Feb 22, 2023.