Individual
JADE LINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP NP-C
Contact information
Practice address
1338 DISC DR, SPARKS, NV 89436-0684
(775) 512-0812
Mailing address
1338 DISC DR, SPARKS, NV 89436-0684
(775) 512-0812
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
826911
NV
Other
Enumeration date
05/11/2020
Last updated
10/20/2023
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