Individual
JACOB DWIGHT EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2880 N TENAYA WAY, LAS VEGAS, NV 89128-0618
(702) 427-6398
Mailing address
2880 N TENAYA WAY, LAS VEGAS, NV 89128-0618
(702) 427-6398
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
SL2190
NV
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/15/2024
Last updated
05/10/2026
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