MR. JATREYLLIS LAVAROUS MCCLOUD LPN NPI 1780194373

NPI Information

MR. Jatreyllis Lavarous Mccloud, LPN is a licensed practical nurse in Las Vegas, NV. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. MR. Jatreyllis Lavarous Mccloud, LPN NPI is 1780194373. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

930 N 4TH ST
LAS VEGAS, NV
ZIP 89101-001
Phone: (702) 383-4044
Fax: (702) 383-8335

The enumeration date for this NPI number is 10/9/2017 and was last updated on 10/9/2017.

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:

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