Individual
MS. DERRIN E JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
75 PRINGLE WAY STE 706, RENO, NV 89502-1472
(775) 982-5770
(775) 982-5775
Mailing address
1155 MILL ST # M14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-5775
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA3014
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12791220
CAQH
NV
01
—
PA3014
NV LICENSE
NV
Enumeration date
03/03/2014
Last updated
05/14/2024
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