Provider Profile

Shaw Jackson Sr

Unclaimed Profile

About Shaw Jackson Sr

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Specialty

Credentials & Licensing

NPI1790643526
NPI issued01/12/2026

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Common questions

Where is Shaw Jackson Sr located?

Shaw Jackson Sr is listed at 4245 S Grand Canyon Dr, Las Vegas, NV 89147. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Shaw Jackson Sr's phone number?

The number on file is (702) 825-8106. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Shaw Jackson Sr's NPI number?

Shaw Jackson Sr's National Provider Identifier is 1790643526. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Has Shaw Jackson Sr confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Shaw Jackson Sr. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.