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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELIA DIANA JACKSON

Active

ELIA DIANA JACKSON is a Student (Health Education/Training) healthcare provider located in NORTH LAS VEGAS, Nevada. NPI 1568964955 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · NORTH LAS VEGAS, NV

Registration Details

NPI Number
1568964955
Provider Type
Individual
Gender
Female
NPI Issued
Mar 2, 2018 (8.4152834866402 yrs)
Last Updated
Mar 2, 2018

Practice Information

Address
417 FOXVALE AVE
NORTH LAS VEGAS, NV, 890326150
Browse NV providers · Browse ZIP 89032
Phone
7024630082
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in NORTH LAS VEGAS, NV

Name Credential NPI
MRS. STERIE LEE REIKO CORTEZ 1093089997
ADRIANO VIEIRA-RIBEIRO P-MHNP-BC 1629488325
JAMES AVANCE 1073975082
ANDREW ROOKS 1336689447
KANOSHA GRAY 1093256034
PAULINA AWUAH-SAADIQ 1801387717
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.