DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JENNY SUE DEWALT CNM

MEDICARE: JENNY SUE DEWALT CNM
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
1163WX0003XInpatient Obstetric Registered Nurse892078NV
2163WM0705XMedical-Surgical Registered Nurse892078NV
3367A00000XAdvanced Practice Midwife892078NV

General Provider Information

NPI Number : 1356224265
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNY SUE DEWALT CNM
Provider Business Mailing Address
First Line : 4700 LAS VEGAS BLVD N
Second Line :
City : NELLIS AFB
State : NV
Zip : 89191-6600
Country : US
Telephone Number : 702-653-2273
Fax Number :
Provider Business Practice Location Address
First Line : 4700 LAS VEGAS BLVD N
Second Line :
City : NELLIS AFB
State : NV
Zip : 89191-6600
Country : US
Telephone Number : 702-653-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2025
Last Update Date : 10/01/2025

Similar Medicare Providers

1932058310 — CHRISTOPHER LEUNG CADC
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB, NV
89191-6600
Practice Phone: 702-653-2273
Practice Fax:
1992225262 — DR. BRADLY SCOTT BROWN MD
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB, NV
89191-6600
Practice Phone: 702-653-2273
Practice Fax:
1548750953 — GIRAH DIVEKA CARABALLO CRNA
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB, NV
89191-6600
Practice Phone: 702-653-2273
Practice Fax:
1962351163 — KIARA VALENCIA CADC
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB, NV
89191-6600
Practice Phone: 702-653-2273
Practice Fax:
1891176764 — KELLY H HALL M.D.
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB, NV
89191-6600
Practice Phone: 702-653-2273
Practice Fax:
1083563993 — YASMIN FRECKLEON CADC
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB, NV
89191-6600
Practice Phone: 702-653-2273
Practice Fax:
1881937308 — THEODORE R SAITZ MD
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB, NV
89191-6600
Practice Phone: 702-653-3064
Practice Fax:

Directions to “ JENNY SUE DEWALT CNM” 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.