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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JERISSA PLUMMER

Active Sole Proprietor

JERISSA PLUMMER is a Physical Disabilities Residential Treatment Facility healthcare provider located in NORTH LAS VEGAS, Nevada. NPI 1790149151 is currently active in the NPPES registry. Verify at CMS.

Physical Disabilities Residential Treatment Facility · NORTH LAS VEGAS, NV

Registration Details

NPI Number
1790149151
Provider Type
Individual
Gender
Female
NPI Issued
Apr 11, 2016 (10.160730887139 yrs)
Last Updated
Apr 11, 2016
Sole Proprietor
Yes

Practice Information

Address
4956 DRIFTING PEBBLE ST
NORTH LAS VEGAS, NV, 890813057
Browse NV providers · Browse ZIP 89081
Phone
6085123251
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.