| Ryan Fullenwiley-jones, | |
|
2535 W Cheyenne Ave Ste 102, North Las Vegas, NV 89032-8930 | |
| (702) 405-8088 | |
| Not Available |
| Full Name | Ryan Fullenwiley-jones |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Psychiatric/mental Health, Adult |
| Location | 2535 W Cheyenne Ave Ste 102, North Las Vegas, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558909549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0809X | Registered Nurse - Psychiatric/mental Health, Adult | 95104375 (California) | Primary |
| Entity Name | Changing Minds Psychiatry Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821537242 PECOS PAC ID: 8820365729 Enrollment ID: O20170524002816 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Fullenwiley-jones, 2535 W Cheyenne Ave Ste 102, North Las Vegas, NV 89032-8930 Ph: (702) 405-8088 | Ryan Fullenwiley-jones, 2535 W Cheyenne Ave Ste 102, North Las Vegas, NV 89032-8930 Ph: (702) 405-8088 |
Denise Ann Bravo, RN, CCM Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2917 Gnatcatcher Ave, North Las Vegas, NV 89084 Phone: 702-217-8572 Fax: 877-211-6856 | |
Brianna Grise, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4016 Lone Fern Ct, North Las Vegas, NV 89084 Phone: 661-902-9719 | |
Melanie C Ocampo, APRN Registered Nurse Medicare: Medicare Enrolled Practice Location: 6900 N Pecos Rd, North Las Vegas, NV 89086 Phone: 702-791-9000 | |
Amelita Fanco, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 416 Parrot Hill Ave, North Las Vegas, NV 89032 Phone: 630-400-3958 | |
Katrina Marie Feathers, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6508 Heavenly Moon St, North Las Vegas, NV 89084 Phone: 702-875-6471 | |
Ms. Kimberly C.e. Stephenson, APRN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6900 N Pecos Rd, North Las Vegas, NV 89086 Phone: 702-791-9000 | |
Mary E Jacobs, REGISTERED NURSE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6900 N Pecos Rd, North Las Vegas, NV 89086 Phone: 702-791-9000 |