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NPI Code Detail

MEDICARE: JACKIE L ARAGON APRN, FNP-BC

MEDICARE: JACKIE L ARAGON APRN, FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN002869NV
2163W00000XRegistered NurseRN38178NV
3363LF0000XFamily Nurse PractitionerAPRN002869NV

General Provider Information

NPI Number : 1134618531
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACKIE L ARAGON APRN, FNP-BC
Provider Business Mailing Address
First Line : 608 PROUD EAGLE LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89144-0912
Country : US
Telephone Number : 702-575-4360
Fax Number :
Provider Business Practice Location Address
First Line : 410 S RAMPART BLVD STE 390
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-5749
Country : US
Telephone Number : 702-901-9451
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2018
Last Update Date : 08/13/2024

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