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

Cannell Jackson

Individual provider Rehabilitation Practitioner · NPI 1740730118

Cannell Jackson is a Rehabilitation Practitioner in Las Vegas, Nevada. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

2725 W Wigwam Ave #2009
Las Vegas, NV 89123
Phone: (773) 844-6231
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1740730118
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 10, 2016
Last updated in NPPESNovember 2, 2016

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