MEDICARE: EVERSIDE HEALTH LOCAL 14 HENDERSON DISPENSING

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	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician

General Provider Information

NPI Number	:	1427737626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVERSIDE HEALTH LOCAL 14 HENDERSON DISPENSING

Provider Business Mailing Address
First Line	:	4651 CHARLOTTE PARK DR STE 300
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28217-1916
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2739 SUNRIDGE HEIGHTS PKWY STE 100
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-5043
Country	:	US
Telephone Number	:	704-661-1380
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF RISK MANAGEMENT
Name	:	JILL JOHNSON PATTON
Credential	:
Telephone Number	:	704-936-5546

Provider Enumeration Date	:	07/14/2023
Last Update Date	:	07/14/2023

Similar Medicare Providers

1578405510 — EVERSIDE HEALTH LLC
Practice Location Address:

2739 SUNRIDGE HEIGHTS PKWY STE 100
HENDERSON, NV
89052-5043

Practice Phone: 702-728-5806
Practice Fax:

1558528232 — MEDICAL SCULPTING & GYN CARE
Practice Location Address:

2739 SUNRIDGE HEIGHTS PKWY , ST 100
HENDERSON, NV
89052-5043

Practice Phone: 702-538-8888
Practice Fax:

1992269336 — EVERSIDE HEALTH, LLC
Practice Location Address:

2739 SUNRIDGE HEIGHTS PKWY STE 100
HENDERSON, NV
89052-5043

Practice Phone: 702-728-5806
Practice Fax: 702-728-5807

1922565746 — EVERSIDE HEALTH, LLC
Practice Location Address:

2739 SUNRIDGE HEIGHTS PKWY STE 100
HENDERSON, NV
89052-5043

Practice Phone: 702-728-5806
Practice Fax: 702-728-5807

1790428712 — SUSAN ANDERSON FNP
Practice Location Address:

2739 SUNRIDGE HEIGHTS PKWY STE 100
HENDERSON, NV
89052-5043

Practice Phone: 702-553-3635
Practice Fax: 833-973-5084

1205204781 — CORY MITCHELL WHITLOCK PAC
Practice Location Address:

2481 W HORIZON RIDGE PKWY STE 100
HENDERSON, NV
89052-5926

Practice Phone: 775-848-6971
Practice Fax: 702-680-1377

Directions to “EVERSIDE HEALTH LOCAL 14 HENDERSON DISPENSING ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.