Individual
JADE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC
Contact information
Practice address
9197 CASTLE VALLEY AVE, LAS VEGAS, NV 89178-7580
(702) 601-6701
Mailing address
9197 CASTLE VALLEY AVE, LAS VEGAS, NV 89178-7580
(702) 601-6701
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
831918
NV
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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