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

Demario Jackson

Individual provider Rehabilitation Practitioner · NPI 1104241744

Demario Jackson is a Rehabilitation Practitioner in North las Vegas, Nevada. Practices as a sole proprietor. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

4909 El Este Ln
North las Vegas, NV 89031-5596
Phone: (702) 204-1781
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 number1104241744
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 19, 2014
Last updated in NPPESMarch 5, 2014

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