Healthcare Provider Details

I. General information

NPI: 1386569275
Provider Name (Legal Business Name): JASMINE HAAS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1516 VIRGINIA RANCH RD
GARDNERVILLE NV
89410-5794
US

IV. Provider business mailing address

1107 US HIGHWAY 395 N
GARDNERVILLE NV
89410-5304
US

V. Phone/Fax

Practice location:
  • Phone: 775-783-4823
  • Fax:
Mailing address:
  • Phone: 775-783-4823
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number862880
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: