Healthcare Provider Details
I. General information
NPI: 1538021159
Provider Name (Legal Business Name): JENKINS HEALTH & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
150 COUNTRY ESTATES CIR STE 111
RENO NV
89511-4017
US
IV. Provider business mailing address
5725 S VALLEY VIEW BLVD STE 5 #374347
LAS VEGAS NV
89118-3122
US
V. Phone/Fax
- Phone: 775-277-7496
- Fax: 775-372-2094
- Phone: 775-277-7496
- Fax: 775-372-2094
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
VUTHY
JENKINS
Title or Position: NP
Credential:
Phone: 775-277-7496