Most Relevant Information
Provider Data
| NPI Number: | 1003673492 |
| Provider Name: | JAYDE ALISE GILHAM LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 858114 |
Most Important Dates
| Enumeration Date: | 03/01/2024 |
| Last Updated: | 03/01/2024 |
Provider Practice Location
3930 HOWARD HUGHES PKWY STE 300
LAS VEGAS
NV
891690946
Practice Location Phone/Fax
| Phone: | 7025602192 |
| Fax: |
Provider Mailing Location
8000 BADURA AVE UNIT 1008
LAS VEGAS
NV
891132104
Provider Mailing Phone/Fax
| Phone: | 7253733156 |
| Fax: |