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NPI Code Detail

MEDICARE: AARON SCOTT JACKSON

MEDICARE:   AARON SCOTT JACKSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747A0650XAttendant Care Provider

General Provider Information

NPI Number : 1063293223
Entity Type Code : Individual
Provider Name (Legal Business Name) : AARON SCOTT JACKSON
Provider Business Mailing Address
First Line : 6929 WATER PIPIT ST
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89084-2644
Country : US
Telephone Number : 702-845-4068
Fax Number :
Provider Business Practice Location Address
First Line : 6929 WATER PIPIT ST
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89084-2644
Country : US
Telephone Number : 702-845-4068
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2023
Last Update Date : 10/12/2023

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Directions to “ AARON SCOTT JACKSON ” Practice Location

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