MEDICARE: JANUS JAIN MERCHANT

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	163W00000X	Registered Nurse	850216	NV
2	363LP2300X	Primary Care Nurse Practitioner	850216	NV
3	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1619710522
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANUS JAIN MERCHANT

Provider Business Mailing Address
First Line	:	6821 WHITE SHELL CIR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-5021
Country	:	US
Telephone Number	:	702-350-5432
Fax Number	:

Provider Business Practice Location Address
First Line	:	6821 WHITE SHELL CIR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-5021
Country	:	US
Telephone Number	:	702-350-5432
Fax Number	:

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

Provider Enumeration Date	:	06/17/2024
Last Update Date	:	07/31/2025

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Directions to “ JANUS JAIN MERCHANT ” Practice Location

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