SUSAN NICOLE JACKSON CADC-1
NPI 1902580509
Counselor - Addiction (Substance Use Disorder) in Las Vegas, NV
About Susan Nicole Jackson Cadc-1 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN NICOLE JACKSON CADC-1 (NPI 1902580509) is an individual addiction (substance use disorder) provider in Las Vegas, Nevada, licensed in Nevada (07309-I) and active in the NPI registry since June 2023.
NPPES Registry Identity
Specialties & Licenses
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.
LAS VEGAS, NV 89109
LAS VEGAS, NV 89109
LAS VEGAS, NV 89109
LAS VEGAS, NV 89109
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 Susan Jackson's NPI number?
The NPI number for Susan Jackson is 1902580509. It was assigned to this individual provider in the NPPES registry on June 14, 2023.
Where is Susan Jackson located?
Susan Jackson practices at 2887 S Maryland Pkwy, Las Vegas, NV 89109. The listed phone number is (702) 747-4104.
What is Susan Jackson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
When was this NPI record last updated?
The NPPES record for Susan Jackson was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.