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ANGEL MARIE JACKSON
NPI 1174811863
Rehabilitation Practitioner in Sparks, NV

Active since July 14, 2011
480 GALLETTI WAY, SPARKS, NV 89431(775) 333-0943 Get Directions Write a Review

NPPES record last updated: July 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angel Marie Jackson NPPES

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

ANGEL MARIE JACKSON (NPI 1174811863) is an individual rehabilitation practitioner in Sparks, Nevada and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1174811863
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameANGEL MARIE JACKSON
Location Address480 GALLETTI WAYSparks, NV 89431-5564
Mailing Address2777 Northtowne Ln Apt 2075Reno, NV 89512-5011 · (775) 420-5108
Phone(775) 333-0943
Sole ProprietorYes
Enumeration DateJuly 14, 2011
✔ NPI 1174811863 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.
480 GALLETTI WAY, Sparks, NV 89431
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Other Providers at the Same Location NPPES 20

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

ROBERT T BUCK RN
Registered Nurse
480 GALLETTI WAY
SPARKS, NV 89431
Washoe County (775) 688-2001
STATE OF NEVADA
Internal Medicine
480 GALLETTI WAY
SPARKS, NV 89431
Washoe County (775) 688-2001
LINDEN STREET MENTAL HEALTH CENTER PHARMACY
Pharmacy (Clinic Pharmacy)
480 GALLETTI WAY
SPARKS, NV 89431
Washoe County (775) 688-2001
JENNIFER SIMEO
Case Manager/Care Coordinator
480 GALLETTI WAY
SPARKS, NV 89431
Washoe County (775) 688-2001
ORLYN A SCHENK R.N.
Registered Nurse
480 GALLETTI WAY
SPARKS, NV 89431
Washoe County (775) 688-2001
COURTNEY MCKENNA
Counselor (Mental Health)
480 GALLETTI WAY
SPARKS, NV 89431
Washoe County (775) 688-1633
TERESE JAY LCSW
Social Worker (Clinical)
480 GALLETTI WAY
SPARKS, NV 89431
Washoe County (775) 982-8870
JACQUELINE M CARPENTER RN
Registered Nurse (Psychiatric/Mental Health, Adult)
480 GALLETTI WAY
SPARKS, NV 89431
Washoe County (775) 688-0408

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 Angel Jackson's NPI number?

The NPI number for Angel Jackson is 1174811863. It was assigned to this individual provider in the NPPES registry on July 14, 2011.

Where is Angel Jackson located?

Angel Jackson practices at 480 Galletti Way, Sparks, NV 89431. The listed phone number is (775) 333-0943.

What is Angel 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 Angel Jackson was last updated on July 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.