Individual
JACOB ANTHONY HUTCHINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PRSS
Contact information
Practice address
2121 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2205
(702) 382-7746
(702) 561-6139
Mailing address
4600 SIRIUS AVE APT 241, LAS VEGAS, NV 89102-7191
(702) 561-6139
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
PRSS-5236
NV
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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