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

Stanford Jackson

Individual provider Rehabilitation Practitioner · NPI 1750688933

Stanford Jackson is a Rehabilitation Practitioner in Las Vegas, Nevada. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

8321 W Sahara Ave Apt 2007
Las Vegas, NV 89117-1883
Phone: (702) 562-3569
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 number1750688933
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 23, 2011
Last updated in NPPESFebruary 23, 2011

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