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CANNELL JACKSON
NPI 1740730118
Rehabilitation Practitioner in Las Vegas, NV

Active since October 10, 2016
2725 W. WIGWAM AVE #2009, LAS VEGAS, NV 89123(773) 844-6231 Get Directions Write a Review

NPPES record last updated: November 2, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 2, 2016, Oct 10, 2016 (2 updates tracked since 2016).

About Cannell Jackson NPPES

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

CANNELL JACKSON (NPI 1740730118) is an individual rehabilitation practitioner in Las Vegas, Nevada and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1740730118
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameCANNELL JACKSON
Location Address2725 W. WIGWAM AVE #2009Las Vegas, NV 89123
Mailing Address2725 W. Wigwam Ave #2009Las Vegas, NV 89123 · (773) 844-6231
Phone(773) 844-6231
Sole ProprietorYes
Enumeration DateOctober 10, 2016
Last NPPES UpdateNovember 2, 20162 updates tracked since enumeration
✔ NPI 1740730118 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.

2725 W. WIGWAM AVE #2009, Las Vegas, NV 89123
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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 Cannell Jackson's NPI number?

The NPI number for Cannell Jackson is 1740730118. It was assigned to this individual provider in the NPPES registry on October 10, 2016.

Where is Cannell Jackson located?

Cannell Jackson practices at 2725 W. Wigwam Ave #2009, Las Vegas, NV 89123. The listed phone number is (773) 844-6231.

What is Cannell 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 Cannell Jackson was last updated on November 2, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.