Individual
TIFFANY JAMARICA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
323 N MARYLAND PKWY, LAS VEGAS, NV 89101-3130
(702) 385-3330
(702) 207-7155
Mailing address
323 N MARYLAND PKWY, LAS VEGAS, NV 89101-3130
(702) 385-3330
(702) 207-7155
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN65676
NV
Other
Enumeration date
11/22/2017
Last updated
11/22/2017
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