Healthcare Provider Details

I. General information

NPI: 1083202402
Provider Name (Legal Business Name): TELEMED NOW, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2021
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1810 E SAHARA AVE
LAS VEGAS NV
89104-3707
US

IV. Provider business mailing address

1810 E SAHARA AVE
LAS VEGAS NV
89104-3707
US

V. Phone/Fax

Practice location:
  • Phone: 832-549-6655
  • Fax:
Mailing address:
  • Phone: 832-549-6655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: BRANDON L JOHNSON
Title or Position: NURSE PRACTITIONER
Credential: FNP
Phone: 832-549-6655