Matthew Jackson

NPI 1558025098 · on the registry since 2021

Practice

Address: 1155 E Twain Ave Ste 108
Las Vegas, NV 89169
Phone: (209) 204-5672
Organisation at this address: Vons Companies Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: Adult Companion
372600000X
Licence states on file: NV
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-10-29

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