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CRYSTAL JACKSON
NPI 1215288865
Rehabilitation Practitioner in North Las Vegas, NV

Active since September 23, 2012
1018 MOSSKAG CT, NORTH LAS VEGAS, NV 89032(702) 358-2155 Get Directions Write a Review

NPPES record last updated: September 23, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Crystal Jackson NPPES

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

CRYSTAL JACKSON (NPI 1215288865) is an individual rehabilitation practitioner in North Las Vegas, Nevada and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1215288865
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameCRYSTAL JACKSON
Location Address1018 MOSSKAG CTNorth Las Vegas, NV 89032-7696
Mailing Address1018 Mosskag CtNorth Las Vegas, NV 89032-7696 · (702) 358-2155
Phone(702) 358-2155
Sole ProprietorYes
Enumeration DateSeptember 23, 2012
✔ NPI 1215288865 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.

1018 MOSSKAG CT, North Las Vegas, NV 89032
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Crystal Jackson's NPI number?

The NPI number for Crystal Jackson is 1215288865. It was assigned to this individual provider in the NPPES registry on September 23, 2012.

Where is Crystal Jackson located?

Crystal Jackson practices at 1018 Mosskag Ct, North Las Vegas, NV 89032. The listed phone number is (702) 358-2155.

What is Crystal 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 Crystal Jackson was last updated on September 23, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.