JENIFFER CREQUE


Address: 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613
Phone: 7024764900

JENIFFER CREQUE (NPI# 1902377229) 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) 1902377229
Entity Type Individual
Full Name JENIFFER CREQUE
Credential APRN
Practice Address 6040 S Fort Apache Rd Ste 100
Las Vegas
NV 89148-5613
Practice Telephone 7024764900
Practice Fax Number 7024764949
Mailing Telephone 7024764900
Mailing Fax Number 7024764949
Enumeration Date 2018-12-14
Last Update Date 2018-12-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
815834 NV Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NV APRN LICENSE 815834 01
MD ANCC 2018070364 01

Office Location

Street Address 6040 S FORT APACHE RD STE 100
City LAS VEGAS
State NV
Zip Code 89148-5613

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437147295 Joaquim S Tavares Internal Medicine 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 2005-10-06
1801403126 Kori Leftwich Nurse Practitioner 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 2020-09-30
1629684337 Laurie Ann Blas Salcedo Hoang Nurse Practitioner 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 2020-09-17
1093340770 Aya Werra Nurse Practitioner 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 2020-03-03
1174161566 Leslie Kirkegard Dietitian, Registered 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 2019-12-16
1568930972 Nancy Sahagun Nurse Practitioner 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 2018-11-05
1093210577 Anthony Tubig Ligones Nurse Practitioner 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 2018-03-27
1396272860 Tara Sue Kenny Dietitian, Registered 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 2017-05-16
1093157836 Karan Gupta Internal Medicine 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 2013-07-22
1407290968 Michael John Gale Internal Medicine 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148 2013-04-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881293777 Miguel Angel Umpierre Technician 9889 Overlook Ridge Ave, Las Vegas, NV 89148 2020-10-21
1689280588 Santos Nunez Technician 7950 Mcginnis Ave, Las Vegas, NV 89148 2020-09-17
1861007734 Daniel D Forro Occupational Therapist 10164 Phelps Lake Ct, Las Vegas, NV 89148 2020-09-08
1568098309 Moinca R Ponce Dentist 9450 West Russell Rd, Suite #103, Las Vegas, NV 89148 2020-03-12
1689214876 Mama Dukes Healthcare Services LLC Rehabilitation Counselor 9908 Masterpeice Drive, Las Vegas, NV 89148 2020-01-15
1720621865 Building Hope Nevada Community/Behavioral Health 8936 Spanish Ridge, Las Vegas, NV 89148 2019-10-22
1790343721 Maretes Godinez Case Manager/Care Coordinator 6070 S Fort Apache Rd., Suite 110, Las Vegas, NV 89148 2019-06-04
1295393601 United Medical Group Pllc Pharmacist 9205 W. Russell Road, Building 3, Ste 240, Las Vegas, NV 89148 2019-05-31
1609358886 Jdr Dermatology Research, LLC. Dermatology 9080 W Post Rd Ste 100, Las Vegas, NV 89148 2018-09-04
1902393929 Hogue Healing Health and Hope, Pllc Dba H3, Pllc Social Worker 9205 W. Russell Rd Ste 240 Bldg 3, Las Vegas, NV 89148 2018-04-16
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306451471 Jhouleen Angelika Tam Tiamzon Nurse Practitioner 3510 E Tropicana Ave Ste K, Las Vegas, NV 89121-7341 2020-09-15
1649783754 Maxine Millicent Webster Nurse Practitioner 2851 N Tenaya Way Ste 101, Las Vegas, NV 89128-0453 2017-11-10
1700302791 Marissa Schanbacher Adolfo Nurse Practitioner 848 Paseo Cerro Pl, Las Vegas, NV 89138-6096 2017-08-21
1467987487 Judith L. Tan Nurse Practitioner Summerlin Hospital, 657 N Town Center Dr, Las Vegas, NV 89144 2017-04-27
1366852352 Thomas Arpad Sharon Nurse Practitioner 922 West Owens Avenue, Las Vegas, NV 89106 2014-04-30
1285600502 Tia B Hudon Nurse Practitioner 2225 E Flamingo Rd Ste 105, Las Vegas, NV 89119-5126 2006-02-27
1568469773 Aloycha Li De La Roche Nurse Practitioner 6100 Iron Kettle St, Las Vegas, NV 89130-1065 2005-07-01
1588263248 Makon Amazing Gifted Hands Pllc Nurse Practitioner 8275 S Eastern Ave, Suite 200, Las Vegas, NV 89123-2545 2020-10-22
1578171864 Iliana Britt Nurse Practitioner 2968 E Russell Rd, Las Vegas, NV 89120-2453 2020-07-22
1689216434 Luis Rodriguez Nurse Practitioner 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 2019-10-14
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Competitor

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City LAS VEGAS
Zip Code 89148

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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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