Individual
JEROME AGULLANA NICOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
5380 S RAINBOW BLVD STE 110, LAS VEGAS, NV 89118-1878
(725) 333-8465
(725) 333-8466
Mailing address
5380 S RAINBOW BLVD STE 110, LAS VEGAS, NV 89118-1878
(725) 333-8465
(725) 333-8466
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
874921
NV
Other
Enumeration date
03/28/2024
Last updated
07/09/2024
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