Organization
SAINT JUDE MEDICAL GROUP LLC HOME DOCTORS
Active
Organization
SAINT JUDE MEDICAL GROUP LLC HOME DOCTORS
Active
Other names
HOME DOCTORS
Organization subpart
No
Provider details
NPI number
Authorized official
NERISSA DIMAILIG APRN (OWNER)
(725) 228-5186
Entity
Organization
Contact information
Practice address
871 CORONADO CENTER DR STE 200, HENDERSON, NV 89052-3977
(702) 934-6441
(702) 933-1060
Mailing address
871 CORONADO CENTER DR STE 200, HENDERSON, NV 89052-3977
(725) 228-5186
(702) 933-1060
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/28/2020
Last updated
03/19/2026
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