Individual
WILLIAM D. JERNIGAN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHW 1
Contact information
Practice address
3110 E SUNSET RD STE K, LAS VEGAS, NV 89120-5700
(725) 267-3398
Mailing address
3110 E SUNSET RD STE K, LAS VEGAS, NV 89120-5700
(725) 267-3398
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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