MEDICARE: MISS JESSICA RENEE ALBANESE

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	207X00000X	Orthopaedic Surgery Physician	324651-01	NY
2	207X00000X	Orthopaedic Surgery Physician	MD224839	OR

General Provider Information

NPI Number	:	1366973927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS JESSICA RENEE ALBANESE

Provider Business Mailing Address
First Line	:	2865 DAGGETT AVE
Second Line	:
City	:	KLAMATH FALLS
State	:	OR
Zip	:	97601-1106
Country	:	US
Telephone Number	:	702-292-5809
Fax Number	:

Provider Business Practice Location Address
First Line	:	1552 LEATHERLEAF DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-1942
Country	:	US
Telephone Number	:	702-292-5809
Fax Number	:

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

Provider Enumeration Date	:	03/24/2017
Last Update Date	:	12/05/2025

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Directions to “ MISS JESSICA RENEE ALBANESE ” Practice Location

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