Provider Demographics
NPI:1851868772
Name:NESJAN, ADALYNN CELINE (APRN FNP-C)
Entity Type:Individual
Prefix:
First Name:ADALYNN
Middle Name:CELINE
Last Name:NESJAN
Suffix:
Gender:F
Credentials:APRN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6434 GILDED FLICKER ST
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89084-2810
Mailing Address - Country:US
Mailing Address - Phone:386-299-0873
Mailing Address - Fax:
Practice Address - Street 1:6434 GILDED FLICKER STREET
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89084-8908
Practice Address - Country:US
Practice Address - Phone:386-299-0873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-29
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV815306363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily