Individual
JAYNISE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 E RENO AVE APT 52, LAS VEGAS, NV 89119-1681
(170) 292-7520
Mailing address
1400 E RENO AVE APT 52, LAS VEGAS, NV 89119-1681
(170) 292-7520
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/13/2018
Last updated
10/05/2021
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