Individual
JENNICA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5776 MIA SKYE ST, LAS VEGAS, NV 89148-5353
(702) 635-2592
Mailing address
5776 MIA SKYE ST, LAS VEGAS, NV 89148-5353
(702) 635-2592
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
878334
NV
Other
Enumeration date
05/11/2024
Last updated
05/11/2024
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