Jesse, Johnny

Jesse, Johnny is an individual health care provider with primary practice located at 5550 Painted Mirage Rd Ste 320 , Las Vegas NV 89149-4584. He recently has 3 registered licenses in different health care specialties including Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Adult Companion. Nursing Service Related Providers / Adult Companion is his primary health care specialty. Jesse, Johnny can be contacted via phone (702) 818-1787.

Contact Information

Primary practice address
5550 Painted Mirage Rd Ste 320 Las Vegas NV 89149-4584
Phone: (702) 818-1787
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X
Nursing Service Related Providers / Chore Provider 372500000X
Nursing Service Related Providers / Adult Companion 372600000X

Profile Details

NPI number 1053911768
LBN Legal business name Jesse, Johnny
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2020
Last updated Oct 30th, 2020 - about 5 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 1053911768 NPPES
Nevada Other NONE NONE

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