IndividualActive
Jeniffer Creque, APRN
NPI 1902377229 · Gerontology Nurse Practitioner · Las Vegas, NV
Provider details
- NPI number
- 1902377229
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 815834 (NV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6040 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-5613
Phone: (702) 476-4900
Fax: (702) 476-4949
Approximate (ZIP-level) locationGet directions
Mailing address
6040 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-5613
Registry dates
- Enumerated
- 2018-12-14
- Last updated
- 2018-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.