Healthcare Provider Details

I. General information

NPI: 1508770355
Provider Name (Legal Business Name): JEFFREY YOST
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3358 CASALETTE LN
HENDERSON NV
89044-1731
US

IV. Provider business mailing address

3358 CASALETTE LN
HENDERSON NV
89044-1731
US

V. Phone/Fax

Practice location:
  • Phone: 702-415-6432
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number76620
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: