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NPI Code Detail

MEDICARE: ASHLEY NICOLE JUSTE PLLC.

MEDICARE: ASHLEY NICOLE JUSTE PLLC.
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
1207R00000XInternal Medicine Physician
2261QP2300XPrimary Care Clinic/Center
3363LF0000XFamily Nurse Practitioner

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881283257
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASHLEY NICOLE JUSTE PLLC.
Provider Business Mailing Address
First Line : 7181 N HUALAPAI WAY # 130-200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89166-1115
Country : US
Telephone Number : 702-751-4192
Fax Number : 866-656-3395
Provider Business Practice Location Address
First Line : 9425 SAYAN CIR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-1665
Country : US
Telephone Number : 702-722-8984
Fax Number : 866-656-3395
Authorized Official
Title or Position : OWNER
Name : MS. ASHLEY NICOLE JUSTE
Credential : FNP-C
Telephone Number : 702-722-8984
Provider Enumeration Date : 01/11/2021
Last Update Date : 02/23/2021

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Directions to “ASHLEY NICOLE JUSTE PLLC. ” Practice Location

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