| Doctor Name: | JEREMY FRIEND |
| NPI Number: | 1023421120 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | RN57430 |
| Business Practice Address: | 480 Galletti Way Sparks, NV - 894315564 |
| Business Phone Number: | 7756882001 |
| Business Fax Number: | 7756882004 |
| Mailing Address: | 480 Galletti Way, SPARKS |
| State: | NV |
| Postal Code: | 894315564 |
| Phone Number: | 7756882001 |
| Fax Number: | 7756882004 |
| NPI Enumeration Date: | 06/05/2014 |
| NPI Last Update Date: | 06/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | RN57430 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |