Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Phelton Gerrard Jackson, N/A

Individual provider Counselor · NPI 1649538836

Mr. Phelton Gerrard Jackson, N/A is a Counselor in North las Vegas, Nevada. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012
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Practice location Address checks out

4417 Oasis Plains Ave
North las Vegas, NV 89085-2334
Phone: (702) 688-1407
Fax: (702) 688-1407
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1649538836
Entity typeIndividual (Type 1)
GenderMale
Credentials N/A
Sole proprietorYes
NPI enumeratedApril 25, 2012
Last updated in NPPESApril 25, 2012

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