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

Gregory Jefferson

Individual provider Contractor · NPI 1639946080

Gregory Jefferson is a Contractor in Las Vegas, Nevada. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

314 Foremaster Ln
Las Vegas, NV 89101-1008
Phone: (702) 857-8800
Show map & directions

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

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1639946080
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 6, 2023
Last updated in NPPESDecember 6, 2023
Certification dateDecember 6, 2023
Mailing address3035 S Maryland Pkwy, Las Vegas, NV 89109-2200

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