Jesica Mae Tejada Bulay, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

866479 Issued in NV

Practice address

9317 Grand Gate St
Las Vegas, NV 89143-2300

Phone

(929) 461-1766

NPI assigned

May 19, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1730019191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9317 GRAND GATE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891432300",
            "telephone_number": "929-461-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9317 GRAND GATE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891432300",
            "telephone_number": "929-461-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULAY",
        "first_name": "JESICA MAE",
        "middle_name": "TEJADA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "866479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Bulac, PTA
• Pacita Bulala
• Rennette Tiamson Bulatao, NURSE PRACTITIONER
• Paul Manoj Bulathsinghala
• Shauna Bulathsinghala
• Alexander Bull
• Idalmis Bullain Guerra, RN
• Bobby Zane Bullard, PMHNP
• Rheyvie Mahal P Bullecer, RN
• Aaron B Bulleigh, D.D.S.

• Psychiatric/Mental Health Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatric/Mental Health Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.