Tiffany Jamarica Jackson, RN
Registered Nurse, Psych/Mental Health in Las Vegas, NV. Individual provider (NPI-1).
NPI number1093229304
StatusActive
Last updated in NPPESNov 22, 2017
Details
- NPI
- 1093229304
- Entity type
- Individual (NPI-1)
- Name
- Tiffany Jamarica Jackson
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 22, 2017
- Last updated
- Nov 22, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0808X | Registered Nurse, Psych/Mental Health | RN65676 | NV | Yes |
Practice location
323 N Maryland PkwyLas Vegas, NV 89101-3130
Phone 702-385-3330 · Fax 702-207-7155
Mailing address
323 N Maryland PkwyLas Vegas, NV 89101-3130
Phone 702-385-3330 · Fax 702-207-7155
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