Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Palm Tree Medical Center LLC

Organization Multi-Specialty Clinic/Center · NPI 1073275442

Palm Tree Medical Center LLC is a Multi-Specialty Clinic/Center in Las Vegas, Nevada. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3930 E Patrick Ln
Las Vegas, NV 89120-4924
Phone: (725) 577-8636
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X

Record details

NPI number1073275442
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacolby Bledsoe — Owner · (725) 577-8636
NPI enumeratedOctober 12, 2021
Last updated in NPPESOctober 13, 2021
Certification dateOctober 13, 2021
Mailing address3930 E Patrick Ln, Las Vegas, NV 89120-4924

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