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

Simone Jackson, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1134644396

Simone Jackson, NP is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2017, 9 years ago. Practices with State of Nevada, a 57-clinician group and accepts Medicare assignment. Licensed in Nevada and Texas.

Years since qualifying
9
Licensed in
NV, TX
In the registry since
2017
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

101 Convention Center Dr Ste 900
Las Vegas, NV 89109-2039
Phone: (702) 355-8294
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN002716 (NV)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence APRN002716 (NV)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP134295 (TX)

Record details

NPI number1134644396
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedAugust 9, 2017
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice State Of Nevada — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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