Robert Jackson

NPI 1114355716 · on the registry since 2013 · sole proprietor

Practice

Address: 2039 E Lake Mead Blvd
North Las Vegas, NV 89030
Phone: (702) 724-9300
Fax: (702) 724-9308
Organisation at this address: Serenity Community Care And Behavioral Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 22

Registry record

Primary taxonomy: 103K00000X
103K00000X
Licence states on file: NV
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-10-17

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