Provider Demographics
NPI:1326597386
Name:MAYES, JESSIKA Q F (DNP, APRN, PMHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:JESSIKA
Middle Name:Q F
Last Name:MAYES
Suffix:
Gender:F
Credentials:DNP, APRN, PMHNP-BC
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Mailing Address - Street 1:2700 LAS VEGAS BLVD S UNIT 2004
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-1162
Mailing Address - Country:US
Mailing Address - Phone:702-861-1875
Mailing Address - Fax:210-892-3616
Practice Address - Street 1:1510 W SUNSET RD STE 110
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-2695
Practice Address - Country:US
Practice Address - Phone:702-861-1875
Practice Address - Fax:949-404-6850
Is Sole Proprietor?:No
Enumeration Date:2016-09-30
Last Update Date:2020-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV815429363L00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner