Individual
DR. JENNIFER LAUREN DAUGHARTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2620 REGATTA DR STE 102, LAS VEGAS, NV 89128-6892
(310) 702-5528
Mailing address
2620 REGATTA DR STE 102, LAS VEGAS, NV 89128-6892
(310) 702-5528
(702) 710-7457
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
13239
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13239
NV MEDICAL LICENSE
NV
01
—
CS18202
PHARMACY/CONTROLLED SUBSTANCE CERTIFICATE
NV
Enumeration date
06/30/2008
Last updated
08/30/2024
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