Jennessa Abascal
Individual provider Active NPI Home Health Registered Nurse · Las Vegas, NV
NPI 1104795400 · NPPES record last updated Nov 4, 2025
Key facts
- NPI
- 1104795400
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 890569 (NV)
- Practice address
- 250 Pilot Rd Ste 250
Las Vegas, NV 89119-3514 - Phone
- (702) 982-3292
- NPI assigned
- Nov 4, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 890569 | NV | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solace Pediatric Healthcare Nursing Services, NV, LLC | Current |
Accepting new patients |
Locations
250 Pilot Rd
Ste 250
Las Vegas, NV 89119
Phone (702) 982-3292
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 890569 | NV | Yes |
Addresses
Primary practice location
250 Pilot Rd Ste 250
Las Vegas, NV 89119-3514
Mailing address
11840 Rustic PL
Fontana, CA 92337-0537
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All providers in Las Vegas, NV · Home Health Registered Nurse in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.