Active NPI
Jennifer Vernon, RN
- Registered Nurse
- Las Vegas, NV
National Provider Identifier
1891566634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN48826
- Practice address
- 3930 Howard Hughes Pkwy Ste 300
Las Vegas, NV 89169-0946 - Phone
- (702) 560-2192
- NPI assigned
- Jan 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN48826 | NV | Primary |
Addresses
Primary practice location
3930 Howard Hughes Pkwy Ste 300
Las Vegas, NV 89169-0946
Mailing address
1821 Mazzanti Way
Henderson, NV 89014-5172
Phone (702) 845-4094
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN48826 | NV | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1891566634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1821 MAZZANTI WAY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890145172",
"telephone_number": "702-845-4094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3930 HOWARD HUGHES PKWY STE 300",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891690946",
"telephone_number": "702-560-2192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERNON",
"first_name": "JENNIFER",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-10",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NV",
"license": "RN48826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.