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NPI Code Detail

MEDICARE: MRS. ESSENCE P JERNIGAN MSW, CSW-I

MEDICARE:  MRS. ESSENCE P JERNIGAN  MSW, CSW-I
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
11041C0700XClinical Social Worker12650-CNV

General Provider Information

NPI Number : 1285320846
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ESSENCE P JERNIGAN MSW, CSW-I
Provider Business Mailing Address
First Line : 5244 ISLAND CHAIN RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-1361
Country : US
Telephone Number : 310-367-2910
Fax Number :
Provider Business Practice Location Address
First Line : 5576 S FORT APACHE RD STE 120
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-3607
Country : US
Telephone Number : 702-582-7480
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2023
Last Update Date : 10/01/2025

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Directions to “ MRS. ESSENCE P JERNIGAN MSW, CSW-I” Practice Location

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