SearchNevada225400000X

Angel Jackson

NPI 1174811863 · on the registry since 2011 · sole proprietor

Practice

Address
480 Galletti Way
Sparks, NV 89431
Phone
(775) 333-0943
Organisation at this address
Nnamhs
Briarwood
State Of Nevada
State Of Nevada
State Of Nevada
Inferred from a shared address, not stated in the registry.
Clinicians at this address
242

Registry record

Primary taxonomy
225400000X
225400000X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-07-14

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