Healthcare Provider Details

I. General information

NPI: 1790377604
Provider Name (Legal Business Name): JPLUS INTERNATIONAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2021
Last Update Date: 02/11/2021
Certification Date: 02/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3920 W CHARLESTON BLVD
LAS VEGAS NV
89102-1631
US

IV. Provider business mailing address

3920 W CHARLESTON BLVD STE N
LAS VEGAS NV
89102-1651
US

V. Phone/Fax

Practice location:
  • Phone: 702-478-5541
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: BREONNA YOUNG
Title or Position: PROVIDER
Credential:
Phone: 702-478-5541