Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mullissa Childress Ccm Medical Services

Organization Adult Medicine Physician · NPI 1073033528

Mullissa Childress Ccm Medical Services is an Adult Medicine Physician in Las Vegas, Nevada. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
3

Practice location Address checks out

222 S Rainbow Blvd Ste 115
Las Vegas, NV 89145-5126
Phone: (702) 406-4125
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X
Adult Medicine Physician Taxonomy 207QA0505X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1073033528
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mullissa Childress — Nurse Practitioner Provider · (702) 406-4125
Other names Ccm Medical Services
NPI enumeratedJune 26, 2017
Last updated in NPPESApril 10, 2025
Certification dateApril 10, 2025
Mailing address5300 Bright Sun Ct, Las Vegas, NV 89130

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