Provider Demographics
NPI:1083337026
Name:GIX, JANESSA
Entity Type:Individual
Prefix:
First Name:JANESSA
Middle Name:
Last Name:GIX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7000 MAE ANNE AVE APT 1512
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-7135
Mailing Address - Country:US
Mailing Address - Phone:775-683-1369
Mailing Address - Fax:
Practice Address - Street 1:1575 DELUCCHI LN STE 218
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-8521
Practice Address - Country:US
Practice Address - Phone:775-686-6021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-23
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide