ENDEEIA SHREE JACKSON NPI 1154842334

NPI Information

  • NPI: 1154842334
  • Provider Name: ENDEEIA SHREE JACKSON
  • Classification: Rehabilitation Practitioner - 225400000X
  • Entity Type: Individual
  • Address: 5370 E CRAIG RD APT 2223
    LAS VEGAS, NV
    ZIP 89115
  • Phone: (702) 771-0091

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NPI Details

Endeeia Shree Jackson is a rehabilitation practitioner in Las Vegas, NV. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. Endeeia Shree Jackson NPI is 1154842334. 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:

5370 E CRAIG RD APT 2223
LAS VEGAS, NV
ZIP 89115-179
Phone: (702) 771-0091

The enumeration date for this NPI number is 6/28/2017 and was last updated on 6/28/2017.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225400000XRehabilitation Practitioner1601744335NEVADAYes

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: 11/21/2025

NPI Synchronization or Removal

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