Healthcare Provider Details

I. General information

NPI: 1972072635
Provider Name (Legal Business Name): SABRINA ESTEL JONES PSR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/24/2018
Last Update Date: 04/07/2021
Certification Date: 04/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3825 CRAIG CROSSING DR APT 3043
NORTH LAS VEGAS NV
89032-1267
US

IV. Provider business mailing address

3825 CRAIG CROSSING DR APT 3043
NORTH LAS VEGAS NV
89032-1267
US

V. Phone/Fax

Practice location:
  • Phone: 702-807-6100
  • Fax:
Mailing address:
  • Phone: 702-807-6100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNV
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: