Individual
MR. SHAILENDRA JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
6855 W CHARLESTON BLVD STE A, LAS VEGAS, NV 89117-1675
(725) 205-3557
(866) 531-4145
Mailing address
4310 METRO PKWY STE 205, FORT MYERS, FL 33916-9416
(239) 236-8784
(239) 790-2624
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
COA.19140-NP
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
832251
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN9485699
FL
Other
Enumeration date
05/23/2016
Last updated
04/29/2025
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