NPI 1790149151

Jerissa Plummer

Practitioner Physical Disabilities Residential Treatment Facility North Las Vegas, NV

Practice location

Address: 4956 Drifting Pebble St, North Las Vegas, NV 89081-3057
Phone: (608) 512-3251

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X

Other Residential Treatment Facility, Physical Disabilities providers in Nevada →

Registry record

NPI: 1790149151
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Apr 2016
Record last updated: 11 Apr 2016

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.