Healthcare Provider Details

I. General information

NPI: 1013913763
Provider Name (Legal Business Name): JENNIFER SNIDOW A.P.R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2005
Last Update Date: 05/03/2023
Certification Date: 05/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 E 9TH ST
RENO NV
89512-2964
US

IV. Provider business mailing address

1240 E 9TH ST
RENO NV
89512-2964
US

V. Phone/Fax

Practice location:
  • Phone: 775-323-0478
  • Fax: 775-789-4437
Mailing address:
  • Phone: 775-323-0478
  • Fax: 775-789-4437

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN001376
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN001376
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: