Search › Nevada › 208600000X
Jordan Shively, D.O
NPI 1194170910 · on the registry since 2016
Practice
- Address
- 8930 W Sunset Rd Ste 300
Las Vegas, NV 89148 - Phone
- (702) 228-8834
- Organisation at this address
- Sbp Group Llc
Pbp Group, Llc
Lvsa On Call Pllc
Bam Healthcare Lvic Llc
Icon Cosmetic Center LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 42
Additional practice sites
- 20000 Harvard Ave, Warrensville Heights, OH
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Also registered as
- 390200000X
- Licence states on file
- OH, NV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada