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

Jesron Marpaung

Individual provider Family Nurse Practitioner · NPI 1477138626

Jesron Marpaung is a Nurse Practitioner in North las Vegas, Nevada. Qualified in 2020, 6 years ago. Practices with Absolute Primary Care Center, a 9-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
6
Licensed in
NV
In the registry since
2021
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Practice location Address checks out

6540 Black Oaks St
North las Vegas, NV 89084-2045
Phone: (909) 913-8647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F10201409 (NV)

Record details

NPI number1477138626
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 9, 2021
Last updated in NPPESMarch 9, 2021
Certification dateMarch 9, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Absolute Primary Care Center — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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