Jenna Lopez, FNP-C | |
98 E Lake Mead Pkwy, Henderson, NV 89015-5540 | |
(702) 483-2969 | |
Not Available |
Full Name | Jenna Lopez |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 98 E Lake Mead Pkwy, Henderson, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255903498 | NPI | - | NPPES |
2500015208 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | CNP844875 (Nevada) | Primary |
363LF0000X | Nurse Practitioner - Family | F07210863 (Nevada) | Secondary |
Entity Name | Bamboo Family Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881196012 PECOS PAC ID: 9830565498 Enrollment ID: O20221021002572 |
Mailing Address | Practice Location Address |
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Jenna Lopez, FNP-C 425 Emily Crossing Ct, Henderson, NV 89015-5689 Ph: (702) 755-6610 | Jenna Lopez, FNP-C 98 E Lake Mead Pkwy, Henderson, NV 89015-5540 Ph: (702) 483-2969 |
Lydia Glaude, PHD, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2662 W Horizon Ridge Pkwy, Henderson, NV 89052 Phone: 702-616-9660 | |
Mrs. Edith Lamira Odiwo, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 Paseo Verde Pkwy Ste 190, Henderson, NV 89052 Phone: 702-589-4871 Fax: 702-589-4872 | |
Martha Kim, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9065 S Pecos Rd Ste 190, Henderson, NV 89074 Phone: 702-888-3148 | |
Dr. Timothy Martin, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 245 Sweet Spot St, Henderson, NV 89074 Phone: 702-324-7702 | |
Ms. Jan Kathleen Vero Stanek, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10001 S Eastern Ave Ste 108, Henderson, NV 89052 Phone: 702-952-3444 | |
Vanessa Beltran Mariasis, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3021 W Horizon Ridge Pkwy, Henderson, NV 89052 Phone: 702-947-2650 | |
Crystal Celeste Huffaker, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1655 W Horizon Ridge Pkwy, Henderson, NV 89012 Phone: 702-476-9999 Fax: 702-946-1343 |