NPI 1245999218
Angel a Jackson
Practice location
- Address
- 9526 Michelle Falls Ave, Las Vegas, NV 89149-3727
- Phone
- (702) 773-5654
Registered specialties (2)
Chore Provider
Primary
Chore Provider
Registry record
- NPI
- 1245999218
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Dec 2021
- Record last updated
- 16 Dec 2021
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.