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NPI Code Detail

MEDICARE: MS. JESSICA FAY CONLEY BA

MEDICARE: MS. JESSICA FAY CONLEY BA
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
1104100000XSocial Worker
23747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1376828210
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JESSICA FAY CONLEY BA
Provider Business Mailing Address
First Line : 1811 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-1259
Country : US
Telephone Number : 702-257-9638
Fax Number : 702-974-1653
Provider Business Practice Location Address
First Line : 1811 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-1259
Country : US
Telephone Number : 702-257-9638
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2011
Last Update Date : 08/06/2019

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Directions to “ MS. JESSICA FAY CONLEY BA” Practice Location

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