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JESICA MAE TEJADA BULAY PMHNP
NPI 1730019191
Nurse Practitioner - Psychiatric/Mental Health in Las Vegas, NV

Active since May 19, 2026
9317 GRAND GATE ST, LAS VEGAS, NV 89143(929) 461-1766 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jesica Mae Tejada Bulay Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESICA MAE TEJADA BULAY PMHNP (NPI 1730019191) is an individual psychiatric/mental health provider in Las Vegas, Nevada, licensed in Nevada (866479) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1730019191
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJESICA MAE TEJADA BULAYCredential: PMHNP
Location Address9317 GRAND GATE STLas Vegas, NV 89143-2300
Mailing Address9317 Grand Gate StLas Vegas, NV 89143-2300 · (929) 461-1766
Phone(929) 461-1766
Sole ProprietorYes
Enumeration DateMay 19, 2026
NPPES CertifiedMay 19, 2026
✔ NPI 1730019191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NV · 866479
9317 GRAND GATE ST, Las Vegas, NV 89143
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesica Mae Bulay's NPI number?

The NPI number for Jesica Mae Bulay is 1730019191. It was assigned to this individual provider in the NPPES registry on May 19, 2026.

Where is Jesica Mae Bulay located?

Jesica Mae Bulay practices at 9317 Grand Gate St, Las Vegas, NV 89143. The listed phone number is (929) 461-1766.

What is Jesica Mae Bulay's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Jesica Mae Bulay was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.