Provider Demographics
NPI:1629204235
Name:RHOADS, JENNIFER J (DO)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:J
Last Name:RHOADS
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Gender:F
Credentials:DO
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Mailing Address - Street 1:JENNIFER RHOADS DO
Mailing Address - Street 2:PO BOX 93358
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89193
Mailing Address - Country:US
Mailing Address - Phone:702-487-6510
Mailing Address - Fax:702-405-7960
Practice Address - Street 1:6402 MCLEOD DR
Practice Address - Street 2:SUITE 2
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120
Practice Address - Country:US
Practice Address - Phone:702-487-6510
Practice Address - Fax:702-405-7960
Is Sole Proprietor?:No
Enumeration Date:2009-06-09
Last Update Date:2024-01-31
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Provider Licenses
StateLicense IDTaxonomies
CA20A 10689207L00000X
NVDO1673207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV109845Medicare PIN