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Contact Information

DAVID N JACKSON, MD
1707 W CHARLESTON BLVD
#120
LAS VEGAS, NV89102-2351
 Phone: 702-671-5140
 Fax: 702-385-2745
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for DAVID N JACKSON · (Male)

NPI Number 1235236308
Status Active
Credentials MD
Entity Individual
Enumeration date 09/20/2006
Last updated 04/23/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01065052A
  • MT License # 8687
  • NV License # 12911
  • MT Medicaid 0017663
  • IN Other 01065052A STATE LICENSE
  • MT Other 8687 STATE LICENSE
  • NV Other 12911 STATE LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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