Individual
JACQUELYN WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2600 S DECATUR BLVD, LAS VEGAS, NV 89102-8519
(702) 877-5199
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN85512
NV
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
209005795
IL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
APRN002040
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124181722
—
NV
Enumeration date
12/18/2006
Last updated
03/05/2024
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