Provider Demographics
NPI:1861077398
Name:RIVERS, JANIECE (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:JANIECE
Middle Name:
Last Name:RIVERS
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9667 PONDEROSA SKYE CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89166-3807
Mailing Address - Country:US
Mailing Address - Phone:702-580-3370
Mailing Address - Fax:
Practice Address - Street 1:501 S RANCHO DR STE I61
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-4838
Practice Address - Country:US
Practice Address - Phone:888-749-6325
Practice Address - Fax:702-441-1969
Is Sole Proprietor?:No
Enumeration Date:2021-03-16
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV838752363L00000X, 363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health