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Shelon Jackson
NPI 1992107916 · on the registry since 2014 · sole proprietor
Practice
- Address
- 2815 W Ford Ave
#1175
Las Vegas, NV 89123 - Phone
- (702) 418-6472
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 372500000X
372600000X
3747A0650X
376J00000X - Sex
- Female
- Record last updated
- 2021-02-24
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