Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 823309 | NV |
NPI | 1023186889 |
---|---|
Provider Name | Mrs. Jill Kathleen Schwartz |
First Address | Las Vegas, NV 89144 |
Second Address | Las Vegas, NV 89144 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2006 |
Last Update Date | 29/06/2020 |