| Dr. William Jackson | |
|
480 Galletti Way Sparks NV 89431-5564 | |
| (775) 688-0400 | |
| Not Available |
| Full Name | Dr. William Jackson |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 480 Galletti Way, Sparks, Nevada |
| Authorized Official Name and Position | Lynn Conway (MANAGEMENT ANALYST II) |
| Authorized Official Contact | 7756880400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. William Jackson 480 Galletti Way Sparks NV 89431-5564 Ph: (775) 688-0400 | Dr. William Jackson 480 Galletti Way Sparks NV 89431-5564 Ph: (775) 688-0400 |
| NPI Number | 1760022214 |
|---|---|
| Provider Enumeration Date | 01/13/2020 |
| Last Update Date | 01/13/2020 |
| Certification Date | 01/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760022214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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