Search › Nevada › 101Y00000X
Phelton Jackson, N/A
NPI 1649538836 · on the registry since 2012 · sole proprietor
Practice
- Address
- 4417 Oasis Plains Ave
North Las Vegas, NV 89085 - Phone
- (702) 688-1407
- Fax
- (702) 688-1407
- Organisation at this address
- Camille Crawford Ccc Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Sex
- Male
- Record last updated
- 2012-04-25
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