Provider Demographics
NPI:1114219086
Name:WESTMORELAND, JENNIFER DELYNN (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:DELYNN
Last Name:WESTMORELAND
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:3012 S DURANGO DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-9186
Mailing Address - Country:US
Mailing Address - Phone:702-835-0088
Mailing Address - Fax:702-826-3162
Practice Address - Street 1:3012 S DURANGO DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-9186
Practice Address - Country:US
Practice Address - Phone:702-835-0088
Practice Address - Fax:702-826-3162
Is Sole Proprietor?:No
Enumeration Date:2011-05-10
Last Update Date:2022-09-21
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1114219086Medicaid