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NPI Code Detail

MEDICARE: JACKELINE ESPINOSA RODRIGUEZ

MEDICARE: JACKELINE ESPINOSA RODRIGUEZ
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
1372500000XChore Provider
2372600000XAdult Companion
33747A0650XAttendant Care Provider
4376J00000XHomemaker
53747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1790649119
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACKELINE ESPINOSA RODRIGUEZ
Provider Business Mailing Address
First Line : 2021 S JONES BLVD STE 150
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-3137
Country : US
Telephone Number : 702-562-2348
Fax Number :
Provider Business Practice Location Address
First Line : 2021 S JONES BLVD STE 150
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-3137
Country : US
Telephone Number : 702-562-2348
Fax Number : 702-598-0010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2025
Last Update Date : 12/10/2025

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Directions to “ JACKELINE ESPINOSA RODRIGUEZ ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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