Individual
SHEENA LAVETTE KICKLIGHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
PSC 41 BOX 6472, APO, AE 09464-0065
(310) 321-2878
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95017377
CA
363LF0000X
Family Nurse Practitioner
Primary
AP140078
TX
Other
Enumeration date
01/03/2019
Last updated
07/10/2024
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