Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | APN000853 | NV |
Y | 363LP2300X | Nurse Practitioner - Primary Care | APRN000853 | NV |
NPI | 1093047086 |
---|---|
Provider Name | Ms. Jennifer L. Cribb |
First Address | Las Vegas, NV 89148-7687 |
Second Address | Las Vegas, NV 89148 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2010 |
Last Update Date | 02/08/2018 |