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NPI Code Detail

MEDICARE: JASMINE MANOCHA APRN-CNP

MEDICARE:   JASMINE  MANOCHA  APRN-CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse Practitioner830472NV
2363LF0000XFamily Nurse Practitioner830472NV

General Provider Information

NPI Number : 1205444510
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE MANOCHA APRN-CNP
Provider Business Mailing Address
First Line : 3758 LAS VEGAS BLVD S
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-4132
Country : US
Telephone Number : 401-862-3668
Fax Number :
Provider Business Practice Location Address
First Line : 3758 LAS VEGAS BLVD S
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-4132
Country : US
Telephone Number : 401-862-3668
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2020
Last Update Date : 11/30/2020

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Directions to “ JASMINE MANOCHA APRN-CNP” Practice Location

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