MEDICARE: REBECCA ANN JAYAKUMAR PHARMD, CPC-INTERN

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	101YP2500X	Professional Counselor	CI5653	NV

General Provider Information

NPI Number	:	1841154937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA ANN JAYAKUMAR PHARMD, CPC-INTERN

Provider Business Mailing Address
First Line	:	601 S RANCHO DR STE A10
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-4898
Country	:	US
Telephone Number	:	702-437-4673
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 S RANCHO DR STE A10
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-4898
Country	:	US
Telephone Number	:	702-437-4673
Fax Number	:

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

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	12/12/2025

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Directions to “ REBECCA ANN JAYAKUMAR PHARMD, CPC-INTERN” Practice Location

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