Individual ProviderJennifer KawiNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3343 S Eastern Ave, Las Vegas, NV 89169-3312(702) 731-0909PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Kawi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 10:46 AM.Profile DetailsProvider ID1972749588Provider TypeIndividualFull NameKawi, JenniferCredentialNPGenderFemaleSole ProprietorNoEnumeration Date1/2/2009Last Updated8/28/2024Contact InformationPractice LocationPractice Address3343 S Eastern Ave, Las Vegas, NV 89169-3312Phone(702) 731-0909Fax(702) 711-1020Mailing LocationMailing Address2316 W Charleston Blvd, Las Vegas, NV 89102-2149PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense000782NevadaCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseT700202NevadaProvider IdentifiersIDDescriptionIssuerID1972749588DescriptionMedicaidIssuerUnlistedNevada