NPI 1013386374

Marianne Jackson

Practitioner Midwife Las Vegas, NV

Practice location

Address: 1613 Stonefield St, Las Vegas, NV 89144-5405
Phone: (702) 245-6290

Registered specialties (2)

Midwife Primary

Other Service Providers Taxonomy 176B00000X

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Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence 54302 (NV)

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Registry record

NPI: 1013386374
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Sep 2015
Record last updated: 16 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.