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JACKSON PSYCHIATRIC AND PRIMARY CARE SERVICES LLC NPI 1689251183


NPI Information

NPI: 1689251183
Provider Name: JACKSON PSYCHIATRIC AND PRIMARY CARE SERVICES LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
9005 W OQUENDO RD APT 3036
LAS VEGAS, NV
ZIP 89148
Phone: (901) 283-1975
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JACKSON PSYCHIATRIC AND PRIMARY CARE SERVICES LLC is a psychiatric/mental health nurse practitioner in Las Vegas, NV. JACKSON PSYCHIATRIC AND PRIMARY CARE SERVICES LLC NPI is 1689251183. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9005 W OQUENDO RD APT 3036
LAS VEGAS, NV
ZIP 89148-524
Phone: (901) 283-1975

The provider's authorized official is Simone Nicola Jackson .
The authorized official title is Owner/ Provider and has the following contact phone number (901) 283-1975.

The enumeration date for this NPI number is 3/29/2021 and was last updated on 4/12/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.