Provider Demographics
NPI:1164202958
Name:RAWLS, JAZMIN TRASHELL
Entity type:Individual
Prefix:
First Name:JAZMIN
Middle Name:TRASHELL
Last Name:RAWLS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 OLIVE ST APT 10
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-2122
Mailing Address - Country:US
Mailing Address - Phone:702-479-9315
Mailing Address - Fax:
Practice Address - Street 1:2300 OLIVE ST APT 10
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-2122
Practice Address - Country:US
Practice Address - Phone:702-479-9315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-29
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant