NPI 1235236308 · live from the CMS NPI Registry
David Neal Jackson, MD
Obstetrics & Gynecology, Maternal & Fetal Medicine in Las Vegas, NV. National Provider Identifier 1235236308, active.
NPI record
| NPI | 1235236308 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Obstetrics & Gynecology, Maternal & Fetal Medicine 207VM0101X |
| Practice location | 1707 W Charleston Blvd, #120, Las Vegas, NV 89102 |
| Practice phone | 702-671-5140 |
| Mailing address | 1701 W Charleston Blvd, #215, Las Vegas, NV 89102 |
| Enumerated | September 20, 2006 |
| Last updated | April 23, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology, Maternal & Fetal Medicine | 207VM0101X | 01065052A (IN) |
| Obstetrics & Gynecology, Maternal & Fetal Medicine | 207VM0101X | 8687 (MT) |
| Obstetrics & Gynecology, Maternal & Fetal Medicine primary | 207VM0101X | 12911 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.