Individual
MS. JESSICA DOROTHEA PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
129 W LAKE MEAD PKWY STE 10, HENDERSON, NV 89015-7055
(702) 489-5748
Mailing address
796 ALDER GREEN AVE, HENDERSON, NV 89002-6541
(910) 616-0299
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
816249
NV
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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