Organization
U.S. NAVY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB M MEARSE DNP (NURSE PRACTITIONER)
(775) 426-3125
Entity
Organization
Contact information
Practice address
4755 PASTURE RD, FALLON, NV 89496-3115
(775) 426-3126
Mailing address
4755 PASTURE RD, FALLON, NV 89496-3115
(775) 426-3126
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
AP60510295
WA
Other
Enumeration date
09/29/2014
Last updated
10/29/2014
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