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Individual

MR. JON FAILLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
4270 S DECATUR BLVD STE B6, LAS VEGAS, NV 89103-6802
(702) 485-2100
(702) 825-0091
Mailing address
182 APACHE TEAR CT, LAS VEGAS, NV 89123-2996
(702) 546-6864
(775) 251-9896

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
APRN002252
NV
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN61345
NV
363LF0000X
Family Nurse Practitioner
Primary
APRN002252
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APRN002252
NEVADA STATE BOARD OF NURSING
NV
01
RN61345
NEVADA STATE BOARD OF NURSING
NV
Enumeration date
09/18/2013
Last updated
11/02/2022
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