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

Jared Toller

Individual provider Medical Physician Assistant · NPI 1396341293

Jared Toller is a Medical Physician Assistant in Henderson, Nevada. Practices as a sole proprietor. Licensed in California, Nevada and Utah.

Licensed in
CA, NV, UT
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

93 Moon Hill Dr
Henderson, NV 89011-3799
Phone: (818) 825-1733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA2770 (NV)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 59134 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 13382949-1206 (UT)

Record details

NPI number1396341293
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 7, 2020
Last updated in NPPESMay 8, 2023
Certification dateMay 8, 2023
Mailing address93 Moon Hill Dr, Henderson, NV 89011-3799

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