Healthcare Provider Details

I. General information

NPI: 1972831477
Provider Name (Legal Business Name): CLARISSA SILVA JONES MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CLARISSA SILVA MS

II. Dates (important events)

Enumeration Date: 11/23/2009
Last Update Date: 11/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2920 N GREEN VALLEY PKWY BLDG 3 SUITE 321
HENDERSON NV
89014-0406
US

IV. Provider business mailing address

2582 KINGHORN PL
HENDERSON NV
89044-8795
US

V. Phone/Fax

Practice location:
  • Phone: 800-675-5485
  • Fax:
Mailing address:
  • Phone: 702-614-4239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number288
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: