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Search › Nevada › 320800000X

Jason Jackson

NPI 1619381548 · on the registry since 2014 · sole proprietor

Practice

Address
2470 Wrondel Way Ste 275
Reno, NV 89502
Phone
(775) 354-3991
Fax
(775) 336-1082
Organisation at this address
Pride House
Lc Providers
Lc Providers
Lc Providers
Lc Providers Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
69

Registry record

Primary taxonomy
320800000X
320800000X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-06-19

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