Provider Demographics
NPI:1366266017
Name:DELGADO, JASMIN (BSN,RN,CBS)
Entity type:Individual
Prefix:
First Name:JASMIN
Middle Name:
Last Name:DELGADO
Suffix:
Gender:F
Credentials:BSN,RN,CBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 CHISOS OAK DR
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-6854
Mailing Address - Country:US
Mailing Address - Phone:361-443-8069
Mailing Address - Fax:
Practice Address - Street 1:116 CHISOS OAK DR
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-6854
Practice Address - Country:US
Practice Address - Phone:361-443-8069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-11
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX904629163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty