Organization · Type 2 NPI
Saint Jude Medical Group LLC Home Doctors
Nurse Practitioner · Henderson, NV
Practice location
871 Coronado Center Dr Ste 200
Henderson, NV 89052-3977
Fax (702) 933-1060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | None listed |
| Nurse Practitioner Primary | 363L00000X | None listed |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1730713611
Saint Jude Medical Group LLC Home Doctors's National Provider Identifier is 1730713611, issued on Feb 28, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Henderson, NV. The record was last updated on Mar 19, 2026.