Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON JACKSON
Active Sole ProprietorJASON JACKSON is a Psychiatric Residential Treatment Facility healthcare provider located in RENO, Nevada. NPI 1619381548 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Residential Treatment Facility · RENO, NV
Registration Details
- NPI Number
- 1619381548
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 18, 2014 (12.191907565671 yrs)
- Last Updated
- Jun 19, 2014
- License
-
4200227759 (NV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2470 WRONDEL WAY STE 275RENO, NV, 895023701Browse NV providers · Browse ZIP 89502
- Phone
- 7753543991
- Fax
- 7753361082
- Primary Specialty
-
Psychiatric Residential Treatment Facility
320800000X
Other Psychiatric Residential Treatment Facility Providers in RENO, NV
| Name | Credential | NPI |
|---|---|---|
| MRS. EDITH O IWUAJOKU | CNA | 1336362086 |
| KAREN DIANE ECCLES | — | 1508046699 |
| ANN MICHELLE RIDDLE | — | 1578860474 |
| VICKI LYNN WINFIELD | — | 1831496736 |
| ANTONIO MONTRY THOMAS | — | 1386941284 |
| ANTONICIA ANTOINNA PACKARD | — | 1649577545 |
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.