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Search › Nevada › 103K00000X

Jackie Johnson

NPI 1740692318 · on the registry since 2014 · sole proprietor

Practice

Address
2605 Rainbow Glow St
North Las Vegas, NV 89030
Phone
(702) 630-5009
Fax
(702) 631-9821
Organisation at this address
Elevate Life
Elevate Life Family Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
103K00000X
103K00000X
Sex
Female
Record last updated
2014-05-29

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