IndividualActive
Anitra Jackson
NPI 1396054094 · Community Health Worker · Las Vegas, NV
Provider details
- NPI number
- 1396054094
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
3900 W Charleston Blvd
Ste 170
Las Vegas, NV 89102-1628
Phone: (702) 453-4673
Approximate (ZIP-level) locationGet directions
Mailing address
3900 W Charleston Blvd
Las Vegas, NV 89102-1628
Registry dates
- Enumerated
- 2010-09-28
- Last updated
- 2010-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.