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

Jack Bibeau

Individual provider Licensed Practical Nurse · NPI 1780412122

Jack Bibeau is a Licensed Practical Nurse in Reno, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2024

Practice location Address checks out

10345 Professional Cir
Reno, NV 89521-5862
Phone: (775) 348-7300
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LPN10455 (NV)

Record details

NPI number1780412122
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 25, 2024
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024
Mailing address2406 Prater Way, Sparks, NV 89431-4122

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