Search › Nevada › 374J00000X
Jordan Fullow
NPI 1972366813 · on the registry since 2024 · sole proprietor
Practice
- Address
- 6268 Berry Patch Way
Las Vegas, NV 89142 - Phone
- (702) 987-6026
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Licence states on file
- NV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-02-02
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