Individual provider · Type 1 NPI
Samuel Lamont Jerideau, FNP
Family Nurse Practitioner · North Las Vegas, NV
NPI number
1790719748
Active
Practice location
3249 W Craig Rd Ste 140
North Las Vegas, NV 89032-0789
Fax (702) 410-5553
Mailing address
3172 N Rainbow Blvd # 1122
Las Vegas, NV 89108-4534
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 895490 (NV) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1790719748
Samuel Lamont Jerideau, FNP's National Provider Identifier is 1790719748, issued on Jul 10, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in North Las Vegas, NV. The record was last updated on Jun 15, 2026.