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Organization
JACKSON MEDICAL ENTERPRISES
Active
Organization
JACKSON MEDICAL ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS NATHANIEL JACKSON M.D. (OWNER)
(313) 461-6194
Entity
Organization
Contact information
Practice address
8905 W POST RD STE 110, LAS VEGAS, NV 89148-2429
(313) 461-6194
Mailing address
5055 S FORT APACHE RD UNIT 280, LAS VEGAS, NV 89148-1558
(313) 461-6194
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
—
NULL
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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