Provider Demographics
NPI:1487245502
Name:JP MEDICAL BILLING & REVENUE LLC
Entity type:Organization
Organization Name:JP MEDICAL BILLING & REVENUE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:POOLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-278-3919
Mailing Address - Street 1:4921 GOLDFIELD ST
Mailing Address - Street 2:
Mailing Address - City:N LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-2516
Mailing Address - Country:US
Mailing Address - Phone:702-278-3919
Mailing Address - Fax:
Practice Address - Street 1:5135 CAMINO AL NORTE STE 279
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-2420
Practice Address - Country:US
Practice Address - Phone:702-278-3919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-01
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty