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ENDEEIA SHREE JACKSON
NPI 1154842334
Rehabilitation Practitioner in Las Vegas, NV

Active since June 28, 2017
5370 E CRAIG RD APT 2223, LAS VEGAS, NV 89115(702) 771-0091 Get Directions Write a Review

NPPES record last updated: June 28, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Endeeia Shree Jackson NPPES

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

ENDEEIA SHREE JACKSON (NPI 1154842334) is an individual rehabilitation practitioner in Las Vegas, Nevada, licensed in Nevada (1601744335) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1154842334
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameENDEEIA SHREE JACKSON
Location Address5370 E CRAIG RD APT 2223Las Vegas, NV 89115-2179
Mailing Address3097 E Warm Springs Rd Ste 400Las Vegas, NV 89120-3757 · (702) 850-8700 · Fax (702) 850-8707
Phone(702) 771-0091
Sole ProprietorNo
Enumeration DateJune 28, 2017
✔ NPI 1154842334 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
License✔ Licensed in NV · 1601744335
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
5370 E CRAIG RD APT 2223, Las Vegas, NV 89115
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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 Endeeia Jackson's NPI number?

The NPI number for Endeeia Jackson is 1154842334. It was assigned to this individual provider in the NPPES registry on June 28, 2017.

Where is Endeeia Jackson located?

Endeeia Jackson practices at 5370 E Craig Rd Apt 2223, Las Vegas, NV 89115. The listed phone number is (702) 771-0091.

What is Endeeia 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 Endeeia Jackson was last updated on June 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.