STANFORD JACKSON NPI 1750688933

NPI Information

NPI: 1750688933
Provider Name: STANFORD JACKSON
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Individual
Address:
8321 W SAHARA AVE APT 2007
LAS VEGAS, NV
ZIP 89117
Phone: (702) 562-3569
Get Directions

Stanford 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. Stanford Jackson NPI is 1750688933. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8321 W SAHARA AVE APT 2007
LAS VEGAS, NV
ZIP 89117-883
Phone: (702) 562-3569

The enumeration date for this NPI number is 2/23/2011 and was last updated on 2/23/2011.

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
1	225400000X	Rehabilitation Practitioner				Yes

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: 4/28/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »