JACKSON PSYCHIATRIC AND PRIMARY CARE SERVICES
NPI 1689251183
Nurse Practitioner - Family in Las Vegas, NV

NPI Status: Active since March 29, 2021

Contact Information

6415 S FORT APACHE RD STE 185-3056
LAS VEGAS, NV
ZIP 89148
Phone: (901) 283-1975

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  • Organization
  • Nurse Practitioner
  • Family

About JACKSON PSYCHIATRIC AND PRIMARY CARE SERVICES

This page provides the complete NPI Profile along with additional information for Jackson Psychiatric And Primary Care Services, a provider established in Las Vegas, Nevada operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1689251183 assigned on March 2021. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated June 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's . The authorized official of this NPI record is Simone Jackson Aprn (Owner)

NPI
1689251183
Provider Legal Name
JACKSON PSYCHIATRIC AND PRIMARY CARE SERVICES
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
6415 S FORT APACHE RD STE 185-3056 LAS VEGAS, NV 89148
Location Phone
(901) 283-1975
Mailing Address
9605 PRESTON HILL ST LAS VEGAS, NV 89178
Mailing Phone
(901) 283-1975
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-29-2021
Last Update Date
06-17-2025
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A nurse practitioner (NP) like Jackson Psychiatric And Primary Care Services is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 9005 W Oquendo Rd Apt 3036
    Las Vegas, NV 89148
    (901) 283-1975

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LP0808XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Psychiatric/Mental Health

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SIMONE JACKSON APRN

Authorized Official Title
OWNER
Authorized Official Phone
(901) 283-1975

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1689251183
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26169452116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 4 + 5 + 2 + 1 + 1 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1689251183 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689251183, enumerated in the NPI registry as an "organization" on March 29, 2021

The provider is located at 6415 S Fort Apache Rd Ste 185-3056 Las Vegas, Nv 89148 and the phone number is (901) 283-1975

This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

This NPI record was last updated on March 29, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.