MEDICARE: MARY JO GILL

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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1487051629
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARY JO GILL

Provider Business Mailing Address
First Line	:	9689 PINE THICKETT AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-6746
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9689 PINE THICKETT AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-6746
Country	:	US
Telephone Number	:	702-817-2636
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL
Name	:	MARY GILL
Credential	:
Telephone Number	:	702-817-2636

Provider Enumeration Date	:	12/03/2014
Last Update Date	:	12/03/2014

Similar Medicare Providers

1295066801 — CHRISTIAN IWOBI FNP
Practice Location Address:

6415 S FORT APACHE RD STE 185
LAS VEGAS, NV
89148-6746

Practice Phone: 702-530-2266
Practice Fax: 702-760-5818

1457852105 — BRANDY NICOLE MCCULLOUCH
Practice Location Address:

708 COWBOY CROSS AVE
N LAS VEGAS, NV
89081-6746

Practice Phone: 702-717-8705
Practice Fax:

1215408414 — ABSOLUTE WELLNESS CENTER LLC
Practice Location Address:

708 COWBOY CROSS AVE
NORTH LAS VEGAS, NV
89081-6746

Practice Phone: 702-337-8991
Practice Fax:

1699246660 — BRANDY NICOLE MCCULLOUCH
Practice Location Address:

708 COWBOY CROSS AVE
NORTH LAS VEGAS, NV
89081-6746

Practice Phone: 702-337-8991
Practice Fax:

1265074868 — LIFECARE INFUSION INC.
Practice Location Address:

6415 S FORT APACHE RD STE 175
LAS VEGAS, NV
89148-6746

Practice Phone: 702-665-5730
Practice Fax: 702-780-4887

1265024756 — CELESTE LACSAMANA
Practice Location Address:

6746 BRAVURA CT
LAS VEGAS, NV
89139-6763

Practice Phone: 702-883-2271
Practice Fax:

Directions to “MARY JO GILL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.