Individual provider · Type 1 NPI

Nicole Jo Goben, PA-C

Physician Assistant · Las Vegas, NV

NPI number 1194470518 Active

Practice location

9111 W Russell Rd Ste A
Las Vegas, NV 89148-1245

Call (702) 312-3333 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA2596 (NV)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1194470518

Nicole Jo Goben, PA-C's National Provider Identifier is 1194470518, issued on Feb 14, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Las Vegas, NV. The record was last updated on May 21, 2026.