Jessica Rose Brave Heart, MS, LAT, ATC
Specialist/Technologist, Athletic Trainer in North Las Vegas, NV. Individual provider (NPI-1).
NPI number1275010399
StatusActive
Last updated in NPPESAug 8, 2026
Details
- NPI
- 1275010399
- Entity type
- Individual (NPI-1)
- Name
- Jessica Rose Brave Heart
- Credential
- MS, LAT, ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2018
- Certification date
- Aug 8, 2026
- Last updated
- Aug 8, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT0506788 | NV | Yes |
Practice location
150 W Deer Springs WayNorth Las Vegas, NV 89084-1340
Phone 605-899-2863
Mailing address
5005 Losee RdNorth Las Vegas, NV 89081-2479
Phone 605-899-2863
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