Organization
ELITE MEDICAL CONSULTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE PINLAC NP (NURSE PRACTITIONER)
(602) 341-3392
Entity
Organization
Contact information
Practice address
6123 S RAINBOW BLVD STE B, LAS VEGAS, NV 89118-3253
(602) 341-3392
Mailing address
2906 E UNION HILLS DR, PHOENIX, AZ 85050-3430
(602) 341-3392
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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