SearchNevada101YM0800X

Antuan Jackson

NPI 1457892838 · on the registry since 2017 · sole proprietor

Practice

Address
2920 S Jones Blvd
110b
Las Vegas, NV 89146
Phone
(702) 968-9372
Fax
(702) 932-3189
Organisation at this address
Tharisohn Corp
Abcnp Marketing
Choice Group Llc
Youth Moving Forward Llc
Ms. Flo'S Mental Health Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
30

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Male
Record last updated
2017-03-17

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