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Johnny Jesse

NPI 1053911768 · on the registry since 2020

Practice

Address
5550 Painted Mirage Rd Ste 320
Las Vegas, NV 89149
Phone
(702) 818-1787
Organisation at this address
Beyond Boundaries
Peaceful Minds Inc
Snv Care Of Nv, Llc
Onv Care Of Nv, Llc
Daniel Taheri Md Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
44

Registry record

Primary taxonomy
372600000X
372600000X
Also registered as
372500000X
376J00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-30
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada