Individual
JENIFFER CREQUE
Active
Individual
JENIFFER CREQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
815834
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018070364
ANCC
MD
01
—
815834
APRN LICENSE
NV
Enumeration date
12/14/2018
Last updated
07/16/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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