Provider Demographics
NPI:1609616598
Name:ACUPAN, JASMINE VALERIE DELA CRUZ (MSN, FNP-BC)
Entity type:Individual
Prefix:
First Name:JASMINE VALERIE
Middle Name:DELA CRUZ
Last Name:ACUPAN
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8970 RICE PEAK ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-1500
Mailing Address - Country:US
Mailing Address - Phone:702-956-4770
Mailing Address - Fax:
Practice Address - Street 1:8970 RICE PEAK ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-1500
Practice Address - Country:US
Practice Address - Phone:702-956-4770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV848811363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily