Individual
DR. JEROME NWANNA NWOKIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5105 CAMINO AL NORTE, NORTH LAS VEGAS, NV 89031-2373
(702) 750-2438
(702) 750-2173
Mailing address
P.O.BOX 371531, LAS VEGAS, NV 89137
(702) 750-2438
(702) 750-2173
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
D0059285
MD
2084P0800X
Psychiatry Physician
D0059285
MD
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
D0059285
MD
Other
Enumeration date
12/08/2005
Last updated
07/10/2014
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