Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angel Marie Jackson

Individual provider Rehabilitation Practitioner · NPI 1174811863

Angel Marie Jackson is a Rehabilitation Practitioner in Sparks, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2011

Practice location Address checks out

480 Galletti Way
Sparks, NV 89431-5564
Phone: (775) 333-0943
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X (NV)

Record details

NPI number1174811863
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 14, 2011
Last updated in NPPESJuly 14, 2011
Mailing address2777 Northtowne Ln Apt 2075, Reno, NV 89512-5011

Other providers in Sparks