Davita Jackson-clark, FNP is a family nurse practitioner in Las Vegas, NV with 27 years of experience. Davita Jackson-clark, FNP NPI is 1871018176. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
3910 PECOS MCLEOD STE D100
LAS VEGAS, NV
ZIP 89121-445
Phone: (702) 629-7577
Fax: (702) 629-7616
The NPI 1871018176 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 8/8/2017 and was last updated on 8/28/2020.