RYAN FULLENWILEY-JONES NPI 1558909549

NPI Information

  • NPI: 1558909549
  • Provider Name: RYAN FULLENWILEY-JONES
  • Classification: Registered Nurse - 163WP0809X
  • Specialization: Psychiatric/Mental Health, Adult
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2535 W CHEYENNE AVE STE 102
    NORTH LAS VEGAS, NV
    ZIP 89032
  • Phone: (702) 405-8088

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NPI Details

Ryan Fullenwiley-jones is a psychiatric/mental health and adult registered nurse in North Las Vegas, NV. Ryan Fullenwiley-jones NPI is 1558909549. 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:

2535 W CHEYENNE AVE STE 102
NORTH LAS VEGAS, NV
ZIP 89032-930
Phone: (702) 405-8088

The NPI 1558909549 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 12/20/2019 and was last updated on 3/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0809XRegistered NursePsychiatric/Mental Health, Adult95104375CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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