Individual
JESSICA ROSE LUCCHESI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2030 MARINER DR SUITE 150, LAS VEGAS, NV 89128
(702) 850-5437
Mailing address
PO BOX 728, PANACA, NV 89042-0728
(435) 429-9648
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
12373903-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
843515
NV
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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