Individual provider · Type 1 NPI

Jake Gifford

Medical Physician Assistant · Henderson, NV

NPI number 1922675321 Active

Practice location

3001 Saint Rose Pkwy
Henderson, NV 89052-3839

Call (702) 616-5615 Map

Fax (702) 616-5120

Mailing address

PO Box 33269
Phoenix, AZ 85067-3269

Other practice locations

  • 8280 W Warm Springs Rd, Las Vegas, NV 89113-3612 · (702) 492-8614

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA3131 (NV)

Medical Physician Assistant: Definition to come...

114 other providers at this address

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About NPI 1922675321

Jake Gifford's National Provider Identifier is 1922675321, issued on Jun 6, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Henderson, NV. The record was last updated on Jun 2, 2025.