Individual provider · Type 1 NPI
Jason Calloway, APRN
Psychiatric/Mental Health Nurse Practitioner · Las Vegas, NV
NPI number
1730728841
Active
Practice location
4760 S Pecos Rd # 103-23
Las Vegas, NV 89121-6038
Fax (855) 592-1100
Mailing address
2880 Bicentennial Pkwy Ste 100
Henderson, NV 89044-4484
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 834379 (NV) |
| Nurse Practitioner | 363L00000X | 9514307 (CA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 9514307 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 834379 (NV) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1730728841
Jason Calloway, APRN's National Provider Identifier is 1730728841, issued on Jan 6, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Las Vegas, NV. The record was last updated on Aug 18, 2024.