Individual
BIANCA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3930 HOWARD HUGHES PKWY, LAS VEGAS, NV 89169-0943
(702) 560-2192
Mailing address
8549 TITANIA CT, LAS VEGAS, NV 89147-6195
(702) 810-8924
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
849307
NV
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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