Marianne Jackson

NPI #1013386374 in Las Vegas, Nevada

Provider Information

NPI Number: 1013386374
Entity Type: Individual
Name: Marianne Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Midwife
Enumeration Date: Sep 16, 2015
Last Updated: Sep 16, 2015

Practice Location

Address: 1613 STONEFIELD ST
City: Las Vegas
State: Nevada
ZIP Code: 89144-5405
Phone: (702) 245-6290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X
Midwife	176B00000X	Primary

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