Individual
MR. JORDAN CARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, PMHNP-BC
Contact information
Practice address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 479-4881
(702) 966-8662
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN75985
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8230887
NV
Other
Enumeration date
09/23/2013
Last updated
11/03/2022
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