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NPI Code Detail

MEDICARE: JAMESON SANTOS REYES APRN

MEDICARE: JAMESON SANTOS REYES APRN
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
1363LF0000XFamily Nurse Practitioner874996NV

General Provider Information

NPI Number : 1477316685
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMESON SANTOS REYES APRN
Provider Business Mailing Address
First Line : 3545 S FORT APACHE RD STE 130-135
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-3435
Country : US
Telephone Number : 702-268-8918
Fax Number : 702-330-0783
Provider Business Practice Location Address
First Line : 3545 S FORT APACHE RD STE 130-135
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-3435
Country : US
Telephone Number : 702-268-8918
Fax Number : 702-330-0783
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2024
Last Update Date : 05/29/2026

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Directions to “ JAMESON SANTOS REYES APRN” Practice Location

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