Provider Demographics
NPI:1659781086
Name:LINSCOTT, JOAN (APNP)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:LINSCOTT
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 34625
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89133-4625
Mailing Address - Country:US
Mailing Address - Phone:702-261-6707
Mailing Address - Fax:702-261-6744
Practice Address - Street 1:5757 WAYNE NEWTON BLVD
Practice Address - Street 2:TERMINAL 1 MEZZANNINE LEVEL 2
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89111-8037
Practice Address - Country:US
Practice Address - Phone:702-261-6707
Practice Address - Fax:702-261-6744
Is Sole Proprietor?:No
Enumeration Date:2014-05-07
Last Update Date:2015-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN001869363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner