Jamie Taylor Nicole Funk, MD is a student in an organized health care education training program in Las Vegas, NV. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jamie Taylor Nicole Funk, MD NPI is 1588283238. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1701 W CHARLESTON BLVD STE 290
LAS VEGAS, NV
ZIP 89102-302
Phone: (702) 671-2385
The NPI 1588283238 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/13/2020 and was last updated on 4/13/2020.