Search › Nevada › 101YA0400X
Jawan Mullen, CDAC INTERN
NPI 1124531421 · on the registry since 2017 · sole proprietor
Practice
- Address
- 5940 Moondance Ct
Henderson, NV 89011 - Phone
- (703) 269-7616
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- NV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada