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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