IndividualActive
Jasmine Jacob, APRN
NPI 1255871604 · Gerontology Nurse Practitioner · Las Vegas, NV
Provider details
- NPI number
- 1255871604
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- APRN002455 (NV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3201 S Maryland Pkwy Ste 404
Las Vegas, NV 89109-2441
Phone: (702) 962-0000
Fax: (702) 962-0010
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 100744
Atlanta, GA 30384-0744
Registry dates
- Enumerated
- 2017-03-05
- Last updated
- 2023-02-22
- Certified
- 2023-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.