MEDICARE: JESSICA RENE' KOHARA RN

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
1	163W00000X	Registered Nurse	RN68595	NV

General Provider Information

NPI Number	:	1255213476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA RENE' KOHARA RN

Provider Business Mailing Address
First Line	:	8721 ECHO GRANDE DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-1750
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8721 ECHO GRANDE DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-1750
Country	:	US
Telephone Number	:	702-849-4177
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2025
Last Update Date	:	07/29/2025

Similar Medicare Providers

1962483073 — GARY L KANTOR M.D.
Practice Location Address:

1750 E DESERT INN RD , #200
LAS VEGAS, NV
89109-3202

Practice Phone: 702-732-2438
Practice Fax: 702-734-7006

1811925480 — KANTOR NEPHROLOGY CONSULTANTS, LTD
Practice Location Address:

1750 E DESERT INN RD , #200
LAS VEGAS, NV
89109-3202

Practice Phone: 702-732-2438
Practice Fax: 702-737-5043

1932298486 — DAWN MCCLELLAN DDS, MS
Practice Location Address:

1750 WHEELER PEAK DR
LAS VEGAS, NV
89106-2150

Practice Phone: 702-272-1100
Practice Fax: 702-998-0675

1508993064 — WALTER C. OTTO PH.D.
Practice Location Address:

1750 S RAINBOW BLVD STE 2
LAS VEGAS, NV
89146-2949

Practice Phone: 702-363-2336
Practice Fax: 702-877-3874

1386764306 — DR. STEPHEN J NASSOF D.D.S
Practice Location Address:

1750 WHEELER PEAK DR
LAS VEGAS, NV
89106-2150

Practice Phone: 702-272-1100
Practice Fax: 702-998-0675

1235301441 — AUDIOLOGICAL SERVICES INC
Practice Location Address:

1750 S RAINBOW BLVD STE 2
LAS VEGAS, NV
89146-2949

Practice Phone: 702-363-2336
Practice Fax: 702-877-3874

Directions to “ JESSICA RENE' KOHARA RN” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.