NPI 1396225736

Destiny Sharad Jackson-Haley

Practitioner Nutritionist Las Vegas, NV

Practice location

Address: 1024 W Owens Ave, Las Vegas, NV 89106-2520
Phone: (702) 877-9850

Registered specialties (2)

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X

Other Nutritionist providers in Nevada →

Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Nevada →

Registry record

NPI: 1396225736
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Aug 2018
Record last updated: 15 Aug 2018

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.