Individual
MS. JESSICA BLANCO ROGANDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6030 S RAINBOW BLVD STE D2, LAS VEGAS, NV 89118-2548
(702) 329-0229
(866) 611-3024
Mailing address
6030 S RAINBOW BLVD STE D2, LAS VEGAS, NV 89118-2548
(702) 329-0229
(866) 611-3024
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
F07220485
NV
363LF0000X
Family Nurse Practitioner
859027
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F07220485
F-NPC
NV
Enumeration date
11/17/2022
Last updated
12/20/2023
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