Individual
JENNA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
98 E LAKE MEAD PKWY, HENDERSON, NV 89015-5540
(702) 483-2969
Mailing address
425 EMILY CROSSING CT, HENDERSON, NV 89015-5689
(702) 755-6610
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP844875
NV
363LF0000X
Family Nurse Practitioner
F07210863
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2500015208
—
NV
Enumeration date
07/16/2021
Last updated
12/22/2021
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