MARCUS JACKSON

Rehabilitation Practitioner

Active Individual
NPI: 1720361652

Practice Address

320 PRINCESS AVE
North Las Vegas, NV 89030

Phone: (702) 573-5812

Specialties

Specialty Code Primary License
Psychologist - Rehabilitation 103TR0400X No -
Rehabilitation Practitioner 225400000X Yes -

Frequently Asked Questions

NPI 1720361652 is the National Provider Identifier for MARCUS JACKSON, a Rehabilitation Practitioner provider located in North Las Vegas, NV. This NPI was enumerated on September 27, 2011.
MARCUS JACKSON practices at 320 PRINCESS AVE, North Las Vegas, NV 89030.

Quick Facts

NPI
1720361652
Type
Individual
Enumerated
Sep 27, 2011
Last Updated
Sep 27, 2011

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