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Individual

JENNIFER STORY-SALACUP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2110 E FLAMINGO RD STE 105, LAS VEGAS, NV 89119-5191
(702) 695-2084
(702) 537-0981
Mailing address
2110 E FLAMINGO RD STE 105, LAS VEGAS, NV 89119-5191
(702) 695-2084
(702) 537-0981

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN001992
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1801263868
NV
Enumeration date
08/25/2015
Last updated
09/25/2025
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