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

Elia Diana Jackson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568964955

Elia Diana Jackson is a Student in an Organized Health Care Education/Training Program in North las Vegas, Nevada. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

417 Foxvale Ave
North las Vegas, NV 89032-6150
Phone: (702) 463-0082
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1568964955
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 2, 2018
Last updated in NPPESMarch 2, 2018

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