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NPI Code Detail

MEDICARE: JASMINE MARTINEZ-CORRAL APRN

MEDICARE: JASMINE MARTINEZ-CORRAL APRN
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner819008NV

General Provider Information

NPI Number : 1215896436
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE MARTINEZ-CORRAL APRN
Provider Business Mailing Address
First Line : 8221 RANCH PINES AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89178-4871
Country : US
Telephone Number : 702-606-7612
Fax Number :
Provider Business Practice Location Address
First Line : 8221 RANCH PINES AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89178-4871
Country : US
Telephone Number : 702-606-7612
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2026
Last Update Date : 01/22/2026

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