NPI 1053911768
Johnny Jesse
Practice location
- Address
- 5550 Painted Mirage Rd STE 320, Las Vegas, NV 89149-4584
- Phone
- (702) 818-1787
Registered specialties (3)
Adult Companion
Primary
Homemaker
Chore Provider
Registry record
- NPI
- 1053911768
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 Oct 2020
- Record last updated
- 30 Oct 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.