JESSICA BLEDSOE


Address: 6170 N Durango Dr, Las Vegas, NV 89149-3926
Phone: 7029401550

JESSICA BLEDSOE (NPI# 1245733039) 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) 1245733039
Entity Type Individual
Full Name JESSICA BLEDSOE
Credential FNP-BC
Practice Address 6170 N Durango Dr
Las Vegas
NV 89149-3926
Mailing Address Po Box 98978
Las Vegas
NV 89193-8978
Practice Telephone 7029401550
Practice Fax Number 7029401551
Mailing Telephone 7022163346
Mailing Fax Number 7026716883
Enumeration Date 2018-03-17
Last Update Date 2019-12-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
APRN002860 NV Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NV 1245733039 05
NV STATE LICENSE APRN002860 01

Other Providers JESSICA BLEDSOE

NPI Name Taxonomy Address Enumeration
1326684788 Jessica Bledsoe Nurse Practitioner 3326 Aspen Grove Dr Ste 260, Franklin, TN 37067-2866 2019-11-20
1518460419 Jessica Ruth Yost Bledsoe Social Worker 8570 Cypress Lake Dr, Fort Myers, FL 33919-5117 2018-03-16
1669896627 Jessica Bledsoe Speech-Language Pathologist 4308 Grove Ave, Cincinnati, OH 45227-3325 2014-02-12
1184258188 Jessica Nicole Bledsoe Physical Medicine & Rehabilitation 3302 N Woodbine Rd, Saint Joseph, MO 64505-9323 2020-02-27
1295295657 Jessica Renee Bledsoe Nurse Practitioner 75 Sylvania Dr, Beavercreek, OH 45440-3237 2019-03-21

Office Location

Street Address 6170 N DURANGO DR
City LAS VEGAS
State NV
Zip Code 89149-3926

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1932664158 Lychee Holdings, LLC Skilled Nursing Facility 8565 W Rome Blvd, Las Vegas, NV 89149 2019-02-01
1366976276 Pam Squared At Las Vegas, LLC Rehabilitation Hospital 6166 North Durango Drive, Las Vegas, NV 89149 2017-04-18
1083076269 Kristopher Kevin Kleinman Registered Nurse 5550 Painted Mirage Rd Ste 217, Las Vegas, NV 89149 2016-03-25
1326428962 Kimberly Vialpando Physical Therapist 6351 N. Forte Apache Road, Las Vegas, NV 89149 2015-06-08
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City LAS VEGAS
Zip Code 89149

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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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