NPI 1881308393

Jessica Leeann Benjamin

Practitioner PACE Provider Organization North Las Vegas, NV

Practice location

Address: 2525 Donna St APT D, North Las Vegas, NV 89030-5571
Phone: (909) 991-9464

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X Licence 00016261488072701238 (NV)

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in Nevada →

Registry record

NPI: 1881308393
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jan 2023
Record last updated: 9 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.