Individual provider · Type 1 NPI
Jerry Ann Balboa Gumabon
Family Nurse Practitioner · Las Vegas, NV
NPI number
1407651219
Active
Practice location
5216 Boulder Hwy
Las Vegas, NV 89122-6074
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 824950 (NV) |
| Family Nurse Practitioner Primary | 363LF0000X | 824950 (NV) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1407651219
Jerry Ann Balboa Gumabon's National Provider Identifier is 1407651219, issued on Feb 17, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Las Vegas, NV. The record was last updated on Jul 31, 2026.