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

Individual provider Case Manager/Care Coordinator · NPI 1992265698

Jesse D Pennepacker is a Case Manager/Care Coordinator in Las Vegas, Nevada. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

9390 W La Madre Way
Las Vegas, NV 89149-2529
Phone: (760) 978-7239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1992265698
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 20, 2019
Last updated in NPPESMarch 20, 2019

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