person
Davita Jackson-clark, FNP
Family Nurse Practitioner in Las Vegas, Nevada
NPI 1871018176

Davita Jackson-clark is a Family Nurse Practitioner based in Las Vegas, NV and is specialized in Family. Davita Jackson-clark practices in Las Vegas, NV and has the professional credentials of FNP. The NPI Number for Davita Jackson-clark is 1871018176 and holds a License No. APRN002570 (Nevada).

The current practice location address for Davita Jackson-clark is 6600 W Charleston Blvd Ste 111, Las Vegas, NV and can be reached out via phone at 702-763-7443 and via fax at 702-763-7443.

Location: 6600 W Charleston Blvd Ste 111, Las Vegas, NV, 89146-1067
person
Provider Profile Details
NPI Number
1871018176
Provider Name
Davita Jackson-clark
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
6600 W Charleston Blvd Ste 111, Las Vegas, NV, 89146-1067
Phone Number
702-763-7443
Fax Number
702-763-7443
Provider Enumeration Date
08/08/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6600 W Charleston Blvd Ste 111
City
State
Zip
89146-1067
Phone Number
702-763-7443
Fax Number
702-763-7443
person
Provider Business Mailing Address Details
Address
6600 W Charleston Blvd Ste 111
City
State
Zip
89146-1067
Phone Number
702-763-7443
Fax Number
702-763-7443
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
APRN002570 (Nevada)
Definition
Definition to come...
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