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Individual

JENNY ANA CENTENO D ROUX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Contact information

Practice address
2560 S MARYLAND PKWY STE 11&12, LAS VEGAS, NV 89109-1695
(702) 444-7524
(702) 444-4135
Mailing address
516 WATKINS DR, LAS VEGAS, NV 89107-1052
(714) 244-0443

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
875823
NV
163WH0200X
Home Health Registered Nurse
875823
NV
363LF0000X
Family Nurse Practitioner
Primary
875823
NV

Other

Enumeration date
03/04/2024
Last updated
07/26/2026
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