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NPI Code Detail

MEDICARE: JASMINE BENNETT

MEDICARE:   JASMINE  BENNETT
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1932034030
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE BENNETT
Provider Business Mailing Address
First Line : 1009 S CIMARRON RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-2447
Country : US
Telephone Number : 725-300-0104
Fax Number :
Provider Business Practice Location Address
First Line : 1009 S CIMARRON RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-2447
Country : US
Telephone Number : 725-300-0104
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2026
Last Update Date : 06/17/2026

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Directions to “ JASMINE BENNETT ” Practice Location

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