NPI 1104459817 · live from the CMS NPI Registry
Jessica Chavez, MD
Internal Medicine, Gastroenterology in Nellis Afb, NV. National Provider Identifier 1104459817, active.
NPI record
| NPI | 1104459817 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 |
| Practice phone | 702-653-2273 |
| Enumerated | February 20, 2020 |
| Last updated | July 3, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | 0101273291 (VA) |
| Internal Medicine | 207R00000X | 0101273291 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.