Healthcare Provider Details

I. General information

NPI: 1629361001
Provider Name (Legal Business Name): VMSN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2011
Last Update Date: 02/26/2021
Certification Date: 02/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 N MARTIN LUTHER KING BLVD
LAS VEGAS NV
89106-2825
US

IV. Provider business mailing address

4770 HARRISON DR # 105
LAS VEGAS NV
89121-5540
US

V. Phone/Fax

Practice location:
  • Phone: 702-967-0530
  • Fax:
Mailing address:
  • Phone: 702-967-0530
  • Fax: 702-967-0538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name: DR. FLORENCE JAMESON
Title or Position: PRESIDENT/CEO
Credential: MD
Phone: 702-967-0530