Individual
MR. JANNYLE FRANANDO KEATHLEY MACDULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1321 S RAINBOW BLVD STE 101, LAS VEGAS, NV 89146-9047
(702) 508-6186
Mailing address
9628 BLUE BELL DR, LAS VEGAS, NV 89134-7831
(707) 484-0586
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN56407
NV
363LF0000X
Family Nurse Practitioner
Primary
APRN-CNP894259
NV
Other
Enumeration date
09/29/2025
Last updated
01/06/2026
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