Individual provider · Type 1 NPI

Cannell Jackson

Rehabilitation Practitioner · Las Vegas, NV

NPI number 1740730118 Active

About NPI 1740730118

Cannell Jackson's National Provider Identifier is 1740730118, issued on Oct 10, 2016. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Las Vegas, NV. The record was last updated on Nov 2, 2016.