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NPI Code Detail

MEDICARE: JENIFER NICOLE POWERS M.D.

MEDICARE:   JENIFER NICOLE POWERS  M.D.
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
1207X00000XOrthopaedic Surgery Physician22622NV
2390200000XStudent in an Organized Health Care Education/Training Program
3207XP3100XPediatric Orthopaedic Surgery Physician22622NV
4207X00000XOrthopaedic Surgery PhysicianR0933TX

General Provider Information

NPI Number : 1811296254
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENIFER NICOLE POWERS M.D.
Provider Business Mailing Address
First Line : 2231 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2254
Country : US
Telephone Number : 702-383-2663
Fax Number :
Provider Business Practice Location Address
First Line : 2231 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2254
Country : US
Telephone Number : 702-383-2663
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2011
Last Update Date : 12/05/2024

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Directions to “ JENIFER NICOLE POWERS M.D.” Practice Location

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