Jayde Alise Gilham, LPN
Licensed Practical Nurse in Las Vegas, NV. Individual provider (NPI-1).
NPI number1003673492
StatusActive
Last updated in NPPESMar 1, 2024
Details
- NPI
- 1003673492
- Entity type
- Individual (NPI-1)
- Name
- Jayde Alise Gilham
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 1, 2024
- Certification date
- Mar 1, 2024
- Last updated
- Mar 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 858114 | NV | Yes |
Practice location
3930 Howard Hughes Pkwy Ste 300Las Vegas, NV 89169-0946
Phone 702-560-2192
Mailing address
8000 Badura Ave Unit 1008Las Vegas, NV 89113-2104
Phone 725-373-3156
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