Individual
JISSY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7391 W CHARLESTON BLVD STE 140, LAS VEGAS, NV 89117-1577
(702) 304-2144
Mailing address
7391 W CHARLESTON BLVD., SUITE 140, LAS VEGAS, NV 89117-1577
(702) 304-2144
(702) 304-2147
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN002479
NV
363LF0000X
Family Nurse Practitioner
APRN002479
NV
363LG0600X
Gerontology Nurse Practitioner
APRN002479
NV
Other
Enumeration date
03/31/2017
Last updated
08/15/2017
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