NPI | 1134618531 |
---|---|
Former Name | JACKIE L ARAGON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002869) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV APRN002869) |
163W00000X Registered Nurse (Licence: NV RN38178) | |
Enumeration Date | 2018-05-02 |
Last Update Date | 2024-08-13 |