Individual
JACQUELORMAE AYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
3131 LAS VEGAS BLVD S, LAS VEGAS, NV 89109-1967
(702) 770-3747
Mailing address
3131 LAS VEGAS BLVD S, LAS VEGAS, NV 89109-1967
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
848629
NV
Other
Enumeration date
02/05/2022
Last updated
08/09/2022
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