Webster, Jacquelyn

Webster, Jacquelyn is an individual health care provider with primary practice located at 2600 S Decatur Blvd , Las Vegas NV 89102-8519. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Webster, Jacquelyn can be contacted via phone (702) 877-5199.

Contact Information

Primary practice address
2600 S Decatur Blvd Las Vegas NV 89102-8519
Phone: (702) 877-5199
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN85512 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 209005795 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X APRN002040 Nevada

Profile Details

NPI number 1124181722
LBN Legal business name Webster, Jacquelyn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Mar 5th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124181722 NPPES
Nevada MEDICAID 1124181722

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