Childress Value Care, PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN88172 Issued in NV

Legal business name

CHILDRESS VALUE CARE, PLLC

Practice address

5300 Bright Sun CT
Las Vegas, NV 89130-3728

Phone

(615) 600-0253

NPI assigned

Dec 21, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mullissa Michelle Childress, FNP

Title

Member

Phone

(615) 600-0253

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1396251682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 PLUS PARK BLVD STE 215",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372171118",
            "telephone_number": "615-600-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 BRIGHT SUN CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303728",
            "telephone_number": "615-600-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRESS VALUE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "CHILDRESS",
        "authorized_official_first_name": "MULLISSA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "615-600-0253",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "RN88172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mullissa Michelle Childress, APRN

• Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.