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JERISSA PLUMMER
NPI 1790149151
Residential Treatment Facility, Physical Disabilities in North Las Vegas, NV

Active since April 11, 2016
4956 DRIFTING PEBBLE ST, NORTH LAS VEGAS, NV 89081(608) 512-3251 Get Directions Write a Review

NPPES record last updated: April 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerissa Plummer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERISSA PLUMMER (NPI 1790149151) is an individual residential treatment facility, physical disabilities provider in North Las Vegas, Nevada and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1790149151
Entity TypeIndividualFemale
Primary Taxonomy320700000X
Provider Legal NameJERISSA PLUMMER
Location Address4956 DRIFTING PEBBLE STNorth Las Vegas, NV 89081-3057
Mailing Address4956 Drifting Pebble StNorth Las Vegas, NV 89081-3057
Phone(608) 512-3251
Sole ProprietorYes
Enumeration DateApril 11, 2016
✔ NPI 1790149151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Physical DisabilitiesResidential Treatment Facilities
Taxonomy Code320700000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
4956 DRIFTING PEBBLE ST, North Las Vegas, NV 89081
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CASSANDRA CHRISTINE COTTEN
Technician (Personal Care Attendant)
4956 DRIFTING PEBBLE ST
NORTH LAS VEGAS, NV 89081
Clark County (702) 445-0669
MADISON NICOLE GIL
Technician (Personal Care Attendant)
4956 DRIFTING PEBBLE ST
NORTH LAS VEGAS, NV 89081
Clark County (702) 763-0416
JAMI N RADCLIFF
Technician (Attendant Care Provider)
4956 DRIFTING PEBBLE ST
NORTH LAS VEGAS, NV 89081
Clark County (702) 540-8743
JENNIFER LYNN PARKER PTA
Physical Therapy Assistant
4956 DRIFTING PEBBLE ST
NORTH LAS VEGAS, NV 89081
Clark County (704) 619-4035
MISS LEAH MICHELLE LOWE
Home Health Aide
4956 DRIFTING PEBBLE ST
NORTH LAS VEGAS, NV 89081
Clark County (702) 445-0669
MS. VICTORIA JEAN LEE
Technician (Personal Care Attendant)
4956 DRIFTING PEBBLE ST
NORTH LAS VEGAS, NV 89081
Clark County (435) 862-6785
KATHERYN REESE MOLLOHAN
Technician (Personal Care Attendant)
4956 DRIFTING PEBBLE ST
NORTH LAS VEGAS, NV 89081
Clark County (281) 841-3196
NEENAH SHEHAN THORNTON
Technician (Personal Care Attendant)
4956 DRIFTING PEBBLE ST
NORTH LAS VEGAS, NV 89081
Clark County (702) 848-7550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerissa Plummer's NPI number?

The NPI number for Jerissa Plummer is 1790149151. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Where is Jerissa Plummer located?

Jerissa Plummer practices at 4956 Drifting Pebble St, North Las Vegas, NV 89081. The listed phone number is (608) 512-3251.

What is Jerissa Plummer's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.

When was this NPI record last updated?

The NPPES record for Jerissa Plummer was last updated on April 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.