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

MR. PHELTON GERRARD JACKSON, N/A

Active Sole Proprietor

MR. PHELTON GERRARD JACKSON, N/A is a Counselor healthcare provider located in NORTH LAS VEGAS, Nevada. NPI 1649538836 is currently active in the NPPES registry. Verify at CMS.

Counselor · NORTH LAS VEGAS, NV

Registration Details

NPI Number
1649538836
Provider Type
Individual
Gender
Male
NPI Issued
Apr 25, 2012 (14.262363496792 yrs)
Last Updated
Apr 25, 2012
Sole Proprietor
Yes

Practice Information

Address
4417 OASIS PLAINS AVE
NORTH LAS VEGAS, NV, 890852334
Browse NV providers · Browse ZIP 89085
Phone
7026881407
Fax
7026881407
Primary Specialty
Counselor
101Y00000X

Other Counselor Providers in NORTH LAS VEGAS, NV

Name Credential NPI
MRS. LOUISE A. JACOBSON NCC 1164592747
MRS. DAWN WILLENA WALKER 1851540207
MRS. PATRICIA GAIL CALDWELL 1902030349
MS. YOULANDA YEVETTE JOHNSON 1508196882
JOHN BADGER 1245562750
MARANDIA BADGER 1871815472
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.