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Individual

JASON CALLOWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
4760 S PECOS RD # 103-23, LAS VEGAS, NV 89121-6038
(800) 820-5793
(855) 592-1100
Mailing address
2880 BICENTENNIAL PKWY STE 100, HENDERSON, NV 89044-4484
(310) 651-4279
(855) 592-1100

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
834379
NV
363L00000X
Nurse Practitioner
9514307
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
834379
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
9514307
CA

Other

Enumeration date
01/06/2020
Last updated
08/18/2024
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