MEDICARE: KESHONA ISAACKSZ FNP-BC, CWS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	816179	NV

General Provider Information

NPI Number	:	1114773447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KESHONA ISAACKSZ FNP-BC, CWS

Provider Business Mailing Address
First Line	:	7181 N HUALAPAI WAY STE 130748
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89166-1115
Country	:	US
Telephone Number	:	702-620-3311
Fax Number	:

Provider Business Practice Location Address
First Line	:	3601 W SAHARA AVE STE 211
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-5821
Country	:	US
Telephone Number	:	725-255-7865
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2024
Last Update Date	:	03/19/2026

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