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Individual

MRS. JESSICA DOOLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
400 PALO VERDE DR, HENDERSON, NV 89015-6028
(702) 799-0508
(702) 700-0510
Mailing address
6637 SECLUDED AVE, LAS VEGAS, NV 89110-5155
(702) 453-3757

Taxonomy

Speciality
Code
Description
License number
State
363LS0200X
School Nurse Practitioner
Primary
APN000824
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100510379
NV
Enumeration date
11/13/2006
Last updated
07/08/2007
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