Jackson, Antoinette S

Jackson, Antoinette S is an sole proprietor health care provider with primary practice located at 5000 W Oakey Blvd Ste A3-4 , Las Vegas NV 89146-0391. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Personal Care Attendant is her primary health care specialty. Jackson, Antoinette S can be contacted via phone (702) 377-1198.

Contact Information

Primary practice address
5000 W Oakey Blvd Ste A3-4 Las Vegas NV 89146-0391
Phone: (702) 377-1198
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X 1404123254 Nevada

Profile Details

NPI number 1043556087
LBN Legal business name Jackson, Antoinette S
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2012
Last updated Aug 18th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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