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JEANIENE A TALLEY MD A PROFESSIONAL NPI 1356528103


NPI Information

NPI: 1356528103
Provider Name: JEANIENE A TALLEY MD A PROFESSIONAL

Doing Business As: JATEKO FAMILY MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 29D1088241

Address:
3860 W ANN RD
N LAS VEGAS, NV
ZIP 89031
Phone: (702) 474-4110
Get Directions

JEANIENE A TALLEY MD A PROFESSIONAL is a family medicine in N Las Vegas, NV. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JEANIENE A TALLEY MD A PROFESSIONAL NPI is 1356528103. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jateko Family Medical Group.

The provider's business location address is:

3860 W ANN RD
N LAS VEGAS, NV
ZIP 89031-409
Phone: (702) 474-4110

The provider's authorized official is Jeaniene A Talley .
The authorized official title is President and has the following contact phone number (702) 474-4110.

The CLIA number assigned to this NPI record is 29D1088241 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/23/2008 and was last updated on 8/2/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine10389NEVADAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.