Provider Demographics
NPI:1164761334
Name:SPINATO, JENNIFER MARIE (APRN)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:MARIE
Last Name:SPINATO
Suffix:
Gender:F
Credentials:APRN
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Mailing Address - Street 1:1081 S CIMARRON RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89145-2425
Mailing Address - Country:US
Mailing Address - Phone:702-749-8885
Mailing Address - Fax:702-749-6393
Practice Address - Street 1:6135 HARRISON DR STE 3A
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-4076
Practice Address - Country:US
Practice Address - Phone:702-482-8656
Practice Address - Fax:702-441-0881
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-07
Last Update Date:2025-03-03
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Provider Licenses
StateLicense IDTaxonomies
NYF306302-1363LA2200X
NV0072363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health