IndividualActive
Destiny Jackson-Haley
NPI 1396225736 · Nutritionist · Las Vegas, NV
Provider details
- NPI number
- 1396225736
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
Practice location
1024 W Owens Ave
Las Vegas, NV 89106-2520
Phone: (702) 877-9850
Approximate (ZIP-level) locationGet directions
Mailing address
1024 W Owens Ave
Las Vegas, NV 89106-2520
Registry dates
- Enumerated
- 2018-08-15
- Last updated
- 2018-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.