Individual
NELSON JONG KWOWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5121 BLUE ROSE ST, NORTH LAS VEGAS, NV 89081-2678
(469) 490-1505
(469) 490-1516
Mailing address
5904 LANTERN LN, GRAND PRAIRIE, TX 75052-8768
(325) 320-0414
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
888347
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1019811
TX
Other
Enumeration date
04/08/2020
Last updated
11/08/2023
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