IndividualActive
Jessica Benjamin
NPI 1881308393 · PACE Provider Organization · North Las Vegas, NV
Provider details
- NPI number
- 1881308393
- Entity type
- Individual
- Primary specialty
- PACE Provider OrganizationAgencies
- Sex
- Female
- Sole proprietor
- Yes
- License
- 00016261488072701238 (NV)
Specialties & taxonomies
Agencies
Practice location
2525 Donna St Apt D
North Las Vegas, NV 89030-5571
Phone: (909) 991-9464
Approximate (ZIP-level) locationGet directions
Mailing address
2525 Donna St Apt D
North Las Vegas, NV 89030-5571
Registry dates
- Enumerated
- 2023-01-09
- Last updated
- 2023-01-09
- Certified
- 2023-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.