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

Jennifer Provenzano

Individual provider In Home Supportive Care Agency · NPI 1558010454

Jennifer Provenzano is an In Home Supportive Care Agency in Henderson, Nevada. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

2400 Bonita Ln
Henderson, NV 89014-3602
Phone: (347) 515-9237
Show map & directions

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

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X

Record details

NPI number1558010454
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 20, 2022
Last updated in NPPESMarch 20, 2022
Certification dateMarch 20, 2022

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