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NPI Code Detail

MEDICARE: JENNIKA RABAYA

MEDICARE:   JENNIKA  RABAYA
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 Practitioner816624NV

General Provider Information

NPI Number : 1487595450
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIKA RABAYA
Provider Business Mailing Address
First Line : 6462 LOSEE RD
Second Line : SUITE 110 - 803
City : NORTH LAS VEGAS
State : NV
Zip : 89086
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6462 N LOSEE RD STE 110-803
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89086-0103
Country : US
Telephone Number : 702-907-9776
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2026
Last Update Date : 05/19/2026

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Directions to “ JENNIKA RABAYA ” Practice Location

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