IndividualActive
Jennae Long
NPI 1104623503 · Licensed Practical Nurse · Las Vegas, NV
Jennae Long is a Licensed Practical Nurse provider in Las Vegas, NV (NPI 1104623503).
Provider details
- NPI number
- 1104623503
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 842505 (NV)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4040 S Eastern Ave
Las Vegas, NV 89119-0810
Phone: (702) 463-0300
Street-level locationGet directions
Mailing address
4040 S Eastern Ave
Las Vegas, NV 89119-0810
Registry dates
- Enumerated
- 2025-02-25
- Last updated
- 2025-02-25
- Certified
- 2025-02-25
Frequently asked questions
- What is Jennae Long's NPI number?
- Jennae Long's National Provider Identifier (NPI) is 1104623503, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennae Long's specialty?
- Jennae Long is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Jennae Long located?
- Jennae Long's practice location on file with NPPES is 4040 S Eastern Ave, Las Vegas, NV 89119-0810.
- What is Jennae Long's phone number?
- The practice phone number listed in the NPPES registry for Jennae Long is (702) 463-0300.
- Is Jennae Long's NPI active?
- Yes — Jennae Long's NPI (1104623503) is active in the NPPES registry as of the last update on 2025-02-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.