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DEMARIO JACKSON
NPI 1104241744
Rehabilitation Practitioner in North Las Vegas, NV

Active since February 19, 2014
4909 EL ESTE LN, NORTH LAS VEGAS, NV 89031(702) 204-1781 Get Directions Write a Review

NPPES record last updated: March 5, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Demario Jackson NPPES

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

DEMARIO JACKSON (NPI 1104241744) is an individual rehabilitation practitioner in North Las Vegas, Nevada and active in the NPI registry since February 2014.

NPPES Registry Identity

NPI1104241744
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameDEMARIO JACKSON
Location Address4909 EL ESTE LNNorth Las Vegas, NV 89031-5596
Mailing Address4909 El Este LnNorth Las Vegas, NV 89031-5596 · (702) 572-8404
Phone(702) 204-1781
Sole ProprietorYes
Enumeration DateFebruary 19, 2014
Last NPPES UpdateMarch 5, 2014
✔ NPI 1104241744 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.
4909 EL ESTE LN, North Las Vegas, NV 89031
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FIRST STEP SERVICES
Community/Behavioral Health
4909 EL ESTE LN
NORTH LAS VEGAS, NV 89031
Clark County (702) 204-1781

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 Demario Jackson's NPI number?

The NPI number for Demario Jackson is 1104241744. It was assigned to this individual provider in the NPPES registry on February 19, 2014.

Where is Demario Jackson located?

Demario Jackson practices at 4909 El Este Ln, North Las Vegas, NV 89031. The listed phone number is (702) 204-1781.

What is Demario 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 Demario Jackson was last updated on March 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.