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NPI Code Detail

MEDICARE: MISS JESSICA NOEL REYNOLDS AGCNS-BC

MEDICARE: MISS JESSICA NOEL REYNOLDS AGCNS-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1364SA2200XAdult Health Clinical Nurse SpecialistAPRN002662NV

General Provider Information

NPI Number : 1174041735
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JESSICA NOEL REYNOLDS AGCNS-BC
Provider Business Mailing Address
First Line : 6989 EMERALD SPRINGS LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-1366
Country : US
Telephone Number : 916-390-2296
Fax Number :
Provider Business Practice Location Address
First Line : 6240 N DURANGO DR STE 120
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-3941
Country : US
Telephone Number : 954-923-7440
Fax Number : 954-923-1299
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2017
Last Update Date : 07/21/2022

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Directions to “ MISS JESSICA NOEL REYNOLDS AGCNS-BC” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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