Individual
ROBERT ILAGAN ST JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
1024 MALIBU SANDS AVE, NORTH LAS VEGAS, NV 89086-1326
(702) 521-4797
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
827833
NV
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/15/2024
Last updated
04/03/2025
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