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NPI Code Detail

MEDICARE: JESSICA WILLIAM

MEDICARE: JESSICA WILLIAM
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
13747P1801XPersonal Care AttendantNV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770168023
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA WILLIAM
Provider Business Mailing Address
First Line : 4428 SUMMER GLEN LN
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-0214
Country : US
Telephone Number : 702-764-3114
Fax Number :
Provider Business Practice Location Address
First Line : 3930 HOWARD HUGHES PKWY STE 300
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-0946
Country : US
Telephone Number : 702-560-2192
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2021
Last Update Date : 06/16/2026

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Directions to “ JESSICA WILLIAM ” Practice Location

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