Individual
SIMONE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 CONVENTION CENTER DR STE 900, LAS VEGAS, NV 89109-2039
(702) 355-8294
Mailing address
9005 W OQUENDO RD APT 3036, LAS VEGAS, NV 89148-1524
(901) 283-1975
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP134295
TX
363LF0000X
Family Nurse Practitioner
Primary
APRN002716
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN002716
NV
Other
Enumeration date
08/09/2017
Last updated
12/15/2025
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