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General NPI Number Information
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NPI Number | 1326597386
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Entity Type | Individual
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Provider Name | JESSIKA Q. F. MAYES DNP, APRN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/30/2016
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Last Update Date | 03/17/2020
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Provider Practice Location Address
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Address Line | 1510 W SUNSET RD STE 110
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City | HENDERSON
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State | NV
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Zip | 89014-2695
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Country | US
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Telephone | 702-861-1875
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Fax | 949-404-6850
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Provider Business Mailing Address
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Address Line | 2700 LAS VEGAS BLVD S UNIT 2004
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City | LAS VEGAS
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State | NV
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Zip | 89109-1162
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Country | US
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Telephone | 702-861-1875
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Fax | 210-892-3616
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 815429
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 815429
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License Number State | NV
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