MS. JESSICA SUMMER LUCERO


Address: 500 E Windmill Lane, Suite 125, Las Vegas, NV 89123-1836
Phone: 7022634795

MS. JESSICA SUMMER LUCERO (NPI# 1487726519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487726519
Entity Type Individual
Full Name MS. JESSICA SUMMER LUCERO
Credential APN
Practice Address 500 E Windmill Lane
Suite 125
Las Vegas
NV 89123-1836
Practice Telephone 7022634795
Practice Fax Number 7022634804
Mailing Telephone 7022634795
Mailing Fax Number 7022634804
Enumeration Date 2006-11-14
Last Update Date 2008-04-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
APN000861 NV Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 500 E WINDMILL LANE
SUITE 125
City LAS VEGAS
State NV
Zip Code 89123-1836

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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Competitor

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City LAS VEGAS
Zip Code 89123

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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