Provider Demographics
NPI:1174826853
Name:VELASQUEZ, JESSICA L (ACNP-BC)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:L
Last Name:VELASQUEZ
Suffix:
Gender:F
Credentials:ACNP-BC
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:L
Other - Last Name:HELIGMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3281 N DECATUR BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89130-3264
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3281 N DECATUR BLVD STE 150
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130-3264
Practice Address - Country:US
Practice Address - Phone:702-463-1088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-17
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9248020363LA2100X, 363LA2100X
NV815892363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care