JESSICA L GDOVIN


Address: 100 N Green Valley Pkwy, Suite #345, Henderson, NV 89074-6391
Phone: 7022600600

JESSICA L GDOVIN (NPI# 1528078912) 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) 1528078912
Entity Type Individual
Full Name JESSICA L GDOVIN
Other Name JESSICA L CONTE
Credential PA-C
Practice Address 100 N Green Valley Pkwy
Suite #345
Henderson
NV 89074-6391
Practice Telephone 7022600600
Practice Fax Number 7022604444
Mailing Telephone 7022600600
Mailing Fax Number 7022604444
Enumeration Date 2006-08-08
Last Update Date 2015-10-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant PA769 NV Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
PA769 NV Physician Assistants & Advanced Practice Nursing Providers
N 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
PA769 NV Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 100 N GREEN VALLEY PKWY
SUITE #345
City HENDERSON
State NV
Zip Code 89074-6391

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366446189 Parkway Surgery Center, LLC. Clinic/Center 100 N Green Valley Pkwy, Ste 125, Henderson, NV 89074-6392 2005-06-09
1205285285 Pat Escamis Nurse Practitioner 100 N Green Valley Pkwy, Suite 239, Henderson, NV 89074-6391 2016-06-09
1922491505 Parkway Recovery Care Center, LLC Nursing Facility/Intermediate Care Facility 100 N Green Valley Pkwy, Suite 330, Henderson, NV 89074-6391 2015-03-06
1184901944 Parkway Imaging Center, LLC Clinic/Center 100 N Green Valley Pkwy, 130, Henderson, NV 89074-6391 2011-11-08
1972732451 Jenny Hernandez Nutritionist 100 N Green Valley Pkwy, Suite 340, Henderson, NV 89074-6391 2009-07-06
1205088895 Allan Jordan Specialist/Technologist, Other 100 N Green Valley Pkwy, Suite 310, Henderson, NV 89074-6391 2008-10-15
1326290016 Bryan Barnard Specialist/Technologist, Other 100 N Green Valley Pkwy, Suite 310, Henderson, NV 89074-6391 2008-10-14
1366643553 Sylvia C Averitt Nurse Practitioner 100 N Green Valley Pkwy, Ste 345, Henderson, NV 89074-7705 2007-05-29
1124234927 Connie L Knapp Nurse Practitioner 100 N Green Valley Pkwy, #345, Henderson, NV 89074 2007-05-16
1699988055 M Paul Singh Md Prof Corp Internal Medicine 100 N Green Valley Pkwy, # 110, Henderson, NV 89074-6391 2007-05-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194349381 Samuel Taylor Mulford Physical Therapist 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 2020-06-03
1407369127 Brenda Thomas Dental Hygienist 234 Polar Morning Place, Henderson, NV 89074 2017-11-16
1174036479 Gail E Evans Wade Behavioral Analyst 1445 Stone Lake Cove, Henderson, NV 89074 2017-11-08
1710400957 Kimberley Houk Behavioral Analyst 20 Avenida Picasso, Henderson, NV 89074 2017-07-19
1760911846 Colin Ono-moore Physical Therapist 3 Rising Sun Ct, Henderson, NV 89074 2017-06-12
1851825764 Ralph Wieder Dietitian, Registered 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 2017-04-18
1811421712 Henderson Long Term Care LLC Skilled Nursing Facility 2965 Wigwam Parkway, Henderson, NV 89074 2017-04-18
1275994642 Malyna Lavarias Behavioral Analyst 74 N Pecos Rd., Suite C, Henderson, NV 89074 2016-03-14
1144608290 Matthew Roderick Acupuncturist 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 2015-05-08
1922494764 Jennifer Romo Santistevan Pediatrics 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 2015-04-08
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144618349 Dinesh Bharwani Physician Assistant 270 West Lake Mead Parkway, Southwest Medical Associates, Henderson, NV 89015 2014-12-23
1285057562 Elena Zalan Physician Assistant 75 S Valle Verde Dr, Suite 100, Henderson, NV 89012-3462 2014-01-22
1760557151 Leda W.z. Edwards Physician Assistant 6301 Mountain Vista, Suite #205, Henderson, NV 89014 2006-11-21
1952381089 Ronald Allen Hoffmeyer Physician Assistant 1132 Industrial Drive, Henderson Health Center, Henderson, TN 38340 2006-01-17
1750997078 Els Dauven Physician Assistant 10950 S Eastern Ave Ste 100, Henderson, NV 89052-4971 2020-09-22
1952926297 Dana Shepherd Physician Assistant 874 American Pacific Dr, Henderson, NV 89014-8800 2020-06-12
1861957722 Michaela R Parrish Physician Assistant 1621 Front St, Henderson, NE 68371-8902 2019-02-05
1770056566 Justin Peter Spangler Physician Assistant 2900 N Green Valley Pkwy, Henderson, NV 89014-0410 2019-01-04
1396217493 Audrey N Darreguet Physician Assistant 10001 S Eastern Ave Ste 310, Henderson, NV 89052-3908 2018-12-30
1871082511 Robert Wimmer Physician Assistant 874 American Pacific Dr, Henderson, NV 89014-8800 2018-05-08
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Competitor

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City HENDERSON
Zip Code 89074

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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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