Individual
MARIANNE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1613 STONEFIELD ST, LAS VEGAS, NV 89144-5405
(702) 245-6290
Mailing address
1613 STONEFIELD ST, LAS VEGAS, NV 89144-5405
(702) 245-6290
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
54302
NV
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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