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Individual

DR. JEANINE NORIKO PACKHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1000 LOCUST ST, RENO, NV 89502-2597
(775) 786-7200
Mailing address
PO BOX 10584, RENO, NV 89510-0584
(775) 786-7200

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
200150101NP
OR

Other

Enumeration date
06/24/2006
Last updated
03/22/2018
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