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General NPI Number Information
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NPI Number | 1861869703
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Entity Type | Individual
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Provider Name | JACKLINE B NGALAME PMHNP
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Gender | Female
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Dates
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Enumeration Date | 08/26/2015
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 10409 PACIFIC PALISADES AVE
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City | LAS VEGAS
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State | NV
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Zip | 89144-1221
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Country | US
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Telephone | 702-281-8941
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Fax | 440-597-4344
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Provider Business Mailing Address
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Address Line | 10409 PACIFIC PALISADES AVE
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City | LAS VEGAS
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State | NV
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Zip | 89144-1221
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Country | US
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Telephone | 702-281-8941
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Fax | 440-597-4344
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 53-78727-072
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License Number State | KS
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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 | 402559
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP60741863
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 839166
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License Number State | NV
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 343912
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11018101
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 9142
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License Number State | MN
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