Individual
DR. SAMUEL LAMONT JERIDEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
3249 W CRAIG RD STE 140, NORTH LAS VEGAS, NV 89032-0789
(702) 329-1732
(702) 410-5553
Mailing address
3172 N RAINBOW BLVD # 1122, LAS VEGAS, NV 89108-4534
(214) 516-4681
(702) 395-0018
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
651668
TX
363LF0000X
Family Nurse Practitioner
Primary
895490
NV
Other
Enumeration date
07/10/2006
Last updated
01/28/2026
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