Healthcare Provider Details

I. General information

NPI: 1316856453
Provider Name (Legal Business Name): NEWLEAF PRIMARY CARE CLINIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 W CHARLESTON BLVD
LAS VEGAS NV
89102-2345
US

IV. Provider business mailing address

1815 W CHARLESTON BLVD
LAS VEGAS NV
89102-2345
US

V. Phone/Fax

Practice location:
  • Phone: 702-350-0385
  • Fax:
Mailing address:
  • Phone: 702-350-0385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: VERONICA JAMES
Title or Position: OWNER
Credential:
Phone: 702-350-0385