Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RANDALL ELLIS JACK, M.D.
ActiveDR. RANDALL ELLIS JACK, M.D. is a Gynecology healthcare provider located in RENO, Nevada. NPI 1922044437 is currently active in the NPPES registry. Verify at CMS.
Gynecology · RENO, NV
Registration Details
- NPI Number
- 1922044437
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2006 (20.16816322451 yrs)
- Last Updated
- Apr 12, 2024
- License
-
13040 (NV)
Practice Information
- Address
-
635 INNOVATION DR STE 300RENO, NV, 895112215Browse NV providers · Browse ZIP 89511
- Phone
- 7753296241
- Fax
- 7753294921
- Primary Specialty
-
Gynecology
207VG0400X
Other Gynecology Providers in RENO, NV
| Name | Credential | NPI |
|---|---|---|
| STACI M PAUL | M.D. | 1174528277 |
| SHERRIE ANNE HALD | MD | 1437154531 |
| DR. BRUCE SCOTT CRAWFORD | MD | 1780662601 |
| LESTER HO | M.D. | 1710940804 |
| TRACEY LANE DELAPLAIN | MD | 1326084096 |
| DR. KEITH BROWN | D.O. | 1003929993 |
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.