Jackson, Simone
Jackson, Simone is an sole proprietor health care provider with primary practice located at 9029 S Pecos Rd Ste 2800 , Henderson NV 89074-7199. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jackson, Simone can be contacted via phone (901) 283-1975.Contact Information
Primary practice address
9029 S Pecos Rd Ste 2800
Henderson NV 89074-7199
Phone: (901) 283-1975
Fax: (901) 283-1975
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP134295 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | APRN002716 | Nevada |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN002716 | Nevada |
Profile Details
| NPI number | 1134644396 |
|---|---|
| LBN Legal business name | Jackson, Simone |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2017 |
| Last updated | Apr 14th, 2021 - about 5 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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