Ryan Fullenwiley-jones, | |
2535 W Cheyenne Ave Ste 102, North Las Vegas, NV 89032-8930 | |
(702) 405-8088 | |
Not Available |
Full Name | Ryan Fullenwiley-jones |
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Gender | Female |
Speciality | Registered Nurse - Psychiatric/mental Health, Adult |
Location | 2535 W Cheyenne Ave Ste 102, North Las Vegas, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1558909549 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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163WP0809X | Registered Nurse - Psychiatric/mental Health, Adult | 95104375 (California) | Primary |
Entity Name | Changing Minds Psychiatry Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821537242 PECOS PAC ID: 8820365729 Enrollment ID: O20170524002816 |
Mailing Address | Practice Location Address |
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Ryan Fullenwiley-jones, 2535 W Cheyenne Ave Ste 102, North Las Vegas, NV 89032-8930 Ph: (702) 405-8088 | Ryan Fullenwiley-jones, 2535 W Cheyenne Ave Ste 102, North Las Vegas, NV 89032-8930 Ph: (702) 405-8088 |
Denise Ann Bravo, RN, CCM Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2917 Gnatcatcher Ave, North Las Vegas, NV 89084 Phone: 702-217-8572 Fax: 877-211-6856 | |
Melanie C Ocampo, APRN Registered Nurse Medicare: Medicare Enrolled Practice Location: 6900 N Pecos Rd, North Las Vegas, NV 89086 Phone: 702-791-9000 | |
Amelita Fanco, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 416 Parrot Hill Ave, North Las Vegas, NV 89032 Phone: 630-400-3958 | |
Ms. Kimberly C.e. Stephenson, APRN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6900 N Pecos Rd, North Las Vegas, NV 89086 Phone: 702-791-9000 | |
Mary E Jacobs, REGISTERED NURSE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6900 N Pecos Rd, North Las Vegas, NV 89086 Phone: 702-791-9000 | |
Adrienne Mcilwain, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4056 Juanita May Ave, North Las Vegas, NV 89032 Phone: 480-298-4228 | |
Linetta Barnes, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3435 W Craig Rd Ste B, North Las Vegas, NV 89032 Phone: 702-207-4458 |