Provider Demographics
NPI:1457962227
Name:PEBBLES, CHRISTINE YVETTE (DNP, APRN, PMHNP-C)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:YVETTE
Last Name:PEBBLES
Suffix:
Gender:F
Credentials:DNP, APRN, PMHNP-C
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 51630
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89435-1630
Mailing Address - Country:US
Mailing Address - Phone:775-418-5990
Mailing Address - Fax:
Practice Address - Street 1:515 COURT STREET
Practice Address - Street 2:LOWER LEVEL SUITE D
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89501
Practice Address - Country:US
Practice Address - Phone:775-418-5990
Practice Address - Fax:775-418-5991
Is Sole Proprietor?:No
Enumeration Date:2020-08-13
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV832695363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health