Jennifer Jean Avena in Las Vegas - Adult Medicine
Jennifer Jean Avena - NPI 1578528998
Jennifer Jean Avena is a Adult Medicine in Las Vegas, Nevada. Jennifer Jean Avena practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Jennifer Jean Avena is 1578528998. The last update date is 2021-10-15.
Jennifer Jean Avena's current location address is 5701 W Charleston Blvd Ste 100, Las Vegas, Nevada. You can contact this provider via phone number 7028779514 and fax number 7023123510. The mailing address for Jennifer Jean Avena is 5701 W Charleston Blvd Ste 100, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Jean Avena |
|---|---|
| Address | 5701 W Charleston Blvd Ste 100, Las Vegas, Nevada |
| Phone Number | 7028779514 |
| Fax Number | 7023123510 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1578528998 |
|---|---|
| Provider Enumeration Date | 2006-04-19 |
| Last Updated Date | 2021-10-15 |
Provider Mailing Address Detail
| Address | 5701 W Charleston Blvd Ste 100 |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891461256 |
| Phone Number | 7028779514 |
| Fax Number | 7023123510 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | 393 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jennifer Jean Avena by the Centers for Medicare & Medicaid Services?
The Jennifer Jean Avena has been issued the NPI (National Provider Identifier) 1578528998 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jennifer Jean Avena?
The Jennifer Jean Avena is physically situated at 5701 W Charleston Blvd Ste 100, in the city of Las Vegas, state of NV, with the postal code 891461256.
What is Jennifer Jean Avena's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jennifer Jean Avena is Adult Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qa0505X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1578528998 to Jennifer Jean Avena?
The Centers for Medicare & Medicaid Services originally issued the 1578528998 to Jennifer Jean Avena on 2006-04-19.
When was the Jennifer Jean Avena's information last updated?
The Jennifer Jean Avena's information was last updated on 2021-10-15.
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