Individual
JILL SUZANNE HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1524 PINTO LN FL 3, LAS VEGAS, NV 89106-4195
(702) 944-2828
(702) 944-2852
Mailing address
3016 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102-1973
(702) 780-2315
(702) 895-4014
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24836
NV
208000000X
Pediatrics Physician
M4181
TX
Other
Enumeration date
10/12/2006
Last updated
02/10/2025
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