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

Individual provider Rehabilitation Counselor · NPI 1043556087

Antoinette S Jackson is a Rehabilitation Counselor in Las Vegas, Nevada. Practices as a sole proprietor and works from 2 locations. Licensed in Nevada.

Licensed in
NV
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

5000 W Oakey Blvd Ste A3-4
Las Vegas, NV 89146-0391
Phone: (702) 377-1198
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3840 N Commerce St, North Las Vegas, NV 89032-8104 — (702) 649-5995

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X · Licence 1404123254 (NV)
Rehabilitation Counselor Taxonomy 225C00000X

Record details

NPI number1043556087
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 19, 2012
Last updated in NPPESAugust 18, 2022
Certification dateAugust 18, 2022

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