MEDICARE: JAZMIN SOSA MORALES

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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1346051331
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAZMIN SOSA MORALES

Provider Business Mailing Address
First Line	:	2802 MCPHERSON RD
Second Line	:
City	:	NORTH PLATTE
State	:	NE
Zip	:	69101-9711
Country	:	US
Telephone Number	:	308-883-2897
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 W 3RD ST
Second Line	:
City	:	NORTH PLATTE
State	:	NE
Zip	:	69101-3843
Country	:	US
Telephone Number	:	308-535-7142
Fax Number	:

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

Provider Enumeration Date	:	01/17/2025
Last Update Date	:	05/21/2025

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Directions to “ JAZMIN SOSA MORALES ” Practice Location

Language	Start Address	Practice Location

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