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
Phone: (702) 476-4900
Fax: (702) 476-4949
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902377229 | NPPES |
Maryland | Other | 2018070364 | ANCC |
Maryland | Other | 815834 | ANCC |
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