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TRALICE JACKSON
NPI 1083017297
Rehabilitation Practitioner in North Las Vegas, NV

Active since October 01, 2014
5665 MOUNT ATHOS ST, NORTH LAS VEGAS, NV 89031(702) 773-3547 Get Directions Write a Review

NPPES record last updated: October 1, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tralice Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRALICE JACKSON (NPI 1083017297) is an individual rehabilitation practitioner in North Las Vegas, Nevada and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1083017297
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameTRALICE JACKSON
Location Address5665 MOUNT ATHOS STNorth Las Vegas, NV 89031-3449
Mailing Address5665 Mount Athos StNorth Las Vegas, NV 89031-3449
Phone(702) 773-3547
Sole ProprietorYes
Enumeration DateOctober 1, 2014
✔ NPI 1083017297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
5665 MOUNT ATHOS ST, North Las Vegas, NV 89031
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tralice Jackson's NPI number?

The NPI number for Tralice Jackson is 1083017297. It was assigned to this individual provider in the NPPES registry on October 1, 2014.

Where is Tralice Jackson located?

Tralice Jackson practices at 5665 Mount Athos St, North Las Vegas, NV 89031. The listed phone number is (702) 773-3547.

What is Tralice Jackson's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Tralice Jackson was last updated on October 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.