Creque, Jeniffer

Creque, Jeniffer is an individual health care provider with primary practice located at 6040 S Fort Apache Rd Ste 100 , Las Vegas NV 89148-5613. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Creque, Jeniffer can be contacted via phone (702) 476-4900.

Contact Information

Primary practice address
6040 S Fort Apache Rd Ste 100 Las Vegas NV 89148-5613
Fax: (702) 476-4949
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 815834 Nevada

Profile Details

NPI number 1902377229
LBN Legal business name Creque, Jeniffer
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2018
Last updated Dec 14th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902377229 NPPES
Maryland Other 2018070364 ANCC
Maryland Other 815834 ANCC

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