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NPI Code Detail

MEDICARE: SYMPHONY JACKSON WALKER CNA

MEDICARE: SYMPHONY JACKSON WALKER CNA
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
1376K00000XNurse's Aide814488NV

General Provider Information

NPI Number : 1598620395
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYMPHONY JACKSON WALKER CNA
Provider Business Mailing Address
First Line : 4423 W FLAMINGO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-3703
Country : US
Telephone Number : 702-458-1137
Fax Number : 702-458-1423
Provider Business Practice Location Address
First Line : 4423 W FLAMINGO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-3703
Country : US
Telephone Number : 702-458-1137
Fax Number : 702-458-1423
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2025
Last Update Date : 12/23/2025

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Directions to “ SYMPHONY JACKSON WALKER CNA” Practice Location

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