U.s. Navy

NPI #1518360072 in Fallon, Nevada

Provider Information

NPI Number: 1518360072
Entity Type: Organization
Organization Name: U.s. Navy
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Sep 29, 2014
Last Updated: Oct 29, 2014

Practice Location

Address: 4755 PASTURE RD
City: Fallon
State: Nevada
ZIP Code: 89496-3115
Phone: (775) 426-3126

Authorized Official

Name: DR. JACOB M MEARSE, DNP
Title: NURSE PRACTITIONER
Phone: (775) 426-3125

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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