Provider Demographics
NPI:1245129881
Name:MEZA, JAZMIN GUADALUPE (BSN, RN)
Entity type:Individual
Prefix:
First Name:JAZMIN
Middle Name:GUADALUPE
Last Name:MEZA
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:851 RIPPLE WAY
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89110-2369
Mailing Address - Country:US
Mailing Address - Phone:702-418-7129
Mailing Address - Fax:
Practice Address - Street 1:851 RIPPLE WAY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89110-2369
Practice Address - Country:US
Practice Address - Phone:702-418-7129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV886130163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse