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

Gloria J. Jackson

Individual provider Rehabilitation Practitioner · NPI 1639421043

Gloria J. Jackson is a Rehabilitation Practitioner in Las Vegas, Nevada. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

3095 E Patrick Ln Ste 12
Las Vegas, NV 89120-4932
Phone: (702) 483-5919
Fax: (702) 483-5546
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 number1639421043
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 9, 2012
Last updated in NPPESOctober 9, 2012

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