MEDICARE: JAZMINE ORR

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
1	1041C0700X	Clinical Social Worker	IC-1204	NV

General Provider Information

NPI Number	:	1174960348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAZMINE ORR

Provider Business Mailing Address
First Line	:	2980 S RAINBOW BLVD STE 210G
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-6531
Country	:	US
Telephone Number	:	702-544-5654
Fax Number	:

Provider Business Practice Location Address
First Line	:	5135 CAMINO AL NORTE
Second Line	:	STE. 259
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-2387
Country	:	US
Telephone Number	:	702-544-5654
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2013
Last Update Date	:	02/25/2019

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Directions to “ JAZMINE ORR ” Practice Location

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