Individual
JEANIE DARLENE KYLE-ELLENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
480 GALLETTI WAY, SPARKS, NV 89431-5544
(337) 287-3225
Mailing address
480 GALLETTI WAY, SPARKS, NV 89431-5544
(337) 287-3225
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN819585
NV
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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