Healthcare Provider Details

I. General information

NPI: 1386887420
Provider Name (Legal Business Name): JENNIFER CLEMENTE JAMESON P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2009
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2930 W HORIZON RIDGE PKWY 205
HENDERSON NV
89052-5058
US

IV. Provider business mailing address

2800 E DESERT INN RD 200
LAS VEGAS NV
89121-3608
US

V. Phone/Fax

Practice location:
  • Phone: 702-597-8999
  • Fax: 702-597-8988
Mailing address:
  • Phone: 702-892-9077
  • Fax: 702-892-9044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2280
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: