Jasmine Jac LLC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

Legal business name

JASMINE JAC LLC

Practice address

169 Short Ruff Way
Las Vegas, NV 89148-5259

Phone

(702) 884-5258

NPI assigned

Jul 2, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jasmine Jacobs, MSN, ACNP-BC.

Title

President/Owner

Phone

(702) 884-5258

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530489600000",
    "number": "1669968681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5470 RENO CORPORATE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112250",
            "telephone_number": "775-657-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 SHORT RUFF WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485259",
            "telephone_number": "702-884-5258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASMINE JAC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "702-884-5258",
        "authorized_official_credential": "MSN, ACNP-BC."
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donte Ray Jasames
• Lynne Larene Jasames, MBA
• Ryan Jaseckas
• Melissa Jasinto, MD
• Silvia Margarita Jasko
• Traci Jasper
• Elvira Jaspi
• Melanie Jaszkowiak
• Dimonique Auni Jau
• Jennifer Jaumotte

• Acute Care Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Acute Care Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.