Individual
JOSHUA GRANT JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN FNP-C
Contact information
Practice address
5510 S FORT APACHE RD STE 103, LAS VEGAS, NV 89148-7700
(702) 899-0100
Mailing address
9510 W SAHARA AVE STE 225, LAS VEGAS, NV 89117-8812
(702) 843-1353
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
878949
NV
Other
Enumeration date
06/06/2025
Last updated
06/17/2025
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