Individual
JESSICA BLEDSOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
6170 N DURANGO DR, LAS VEGAS, NV 89149-3926
(702) 940-1550
(702) 940-1551
Mailing address
PO BOX 98978, LAS VEGAS, NV 89193-8978
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN002860
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245733039
—
NV
01
—
APRN002860
STATE LICENSE
NV
Enumeration date
03/17/2018
Last updated
12/31/2019
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