Provider Demographics
NPI:1235611526
Name:GARVIN, NONA CECILIA JABINES (MSN, APRN, NP-C)
Entity Type:Individual
Prefix:MRS
First Name:NONA CECILIA
Middle Name:JABINES
Last Name:GARVIN
Suffix:
Gender:F
Credentials:MSN, APRN, NP-C
Other - Prefix:MRS
Other - First Name:NONA CECILIA
Other - Middle Name:
Other - Last Name:DAMPOG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, APRN, NP-C
Mailing Address - Street 1:1800 W. CHARLESTON BLVD. STE. 508
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102
Mailing Address - Country:US
Mailing Address - Phone:702-383-2688
Mailing Address - Fax:702-671-6595
Practice Address - Street 1:5785 CENTENNIAL CENTER BLVD. STE. 230
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149
Practice Address - Country:US
Practice Address - Phone:702-383-2273
Practice Address - Fax:702-366-0570
Is Sole Proprietor?:No
Enumeration Date:2018-09-04
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN002829363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner