Individual
JACOB SKINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4475 S EASTERN AVE, LAS VEGAS, NV 89119-7826
(702) 737-1880
(702) 650-0763
Mailing address
1528 W WARM SPRINGS RD STE 100, HENDERSON, NV 89014-4332
(702) 737-1880
(702) 650-0763
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
13197
NV
207V00000X
Obstetrics & Gynecology Physician
81015
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063686152
—
NV
Enumeration date
04/18/2008
Last updated
12/15/2021
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