MEDICARE: JENIFER ALICIA CARVELL NP-C

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	363LF0000X	Family Nurse Practitioner	APRN002134	NV

General Provider Information

NPI Number	:	1326407768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENIFER ALICIA CARVELL NP-C

Provider Business Mailing Address
First Line	:	1800 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2386
Country	:	US
Telephone Number	:	702-383-2620
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 N RAINBOW BLVD
Second Line	:	STE #203
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-1082
Country	:	US
Telephone Number	:	702-259-1228
Fax Number	:

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

Provider Enumeration Date	:	02/13/2016
Last Update Date	:	04/07/2026

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