Individual
MRS. JACKLINE H DUANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2149
(702) 724-8787
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
341893
NY
363LF0000X
Family Nurse Practitioner
Primary
829183
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0299559
—
NY
Enumeration date
07/09/2017
Last updated
11/18/2024
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