Simone Brooker-Jolivette
Individual provider Active NPI Adult Health Nurse Practitioner · Las Vegas, NV
NPI 1962357210 · NPPES record last updated Mar 2, 2026
Key facts
- NPI
- 1962357210
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 840451 (NV)
- Practice address
- 7373 Peak Dr
Las Vegas, NV 89128-9003 - Phone
- (725) 780-4351
- NPI assigned
- Mar 2, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 840451 | NV | MD | Adult Health Nurse Practitioner |
| 805542 | NY | MD | Adult Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 805542 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | 840451 | NV | Yes |
Addresses
Primary practice location
7373 Peak Dr
Las Vegas, NV 89128-9003
Mailing address
9929 Markhorn CT
Las Vegas, NV 89149-3741
Other providers in Las Vegas, NV
- Krista Ann Bronson
- Stacy Ann Bronson
- Andrew J Bronstein
- Sarah Lynne Broo
- Lily Patricia Brooke
- Eric T Brooker
- Brookes Pediatrics LLC
- Lesa Brookes
- Timothy J Brookes
- Catherine Brookhill
All providers in Las Vegas, NV · Adult Health Nurse Practitioner in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2026. 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.