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ANTOINETTE S JACKSON
NPI 1043556087
Technician - Personal Care Attendant in Las Vegas, NV

Active since December 19, 2012
5000 W OAKEY BLVD STE A3-4, LAS VEGAS, NV 89146(702) 377-1198 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Antoinette S Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTOINETTE S JACKSON (NPI 1043556087) is an individual personal care attendant in Las Vegas, Nevada, licensed in Nevada (1404123254) and active in the NPI registry since December 2012. She maintains a secondary practice location in North Las Vegas.

NPPES Registry Identity

NPI1043556087
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameANTOINETTE S JACKSON
Location Address5000 W OAKEY BLVD STE A3-4Las Vegas, NV 89146-0391
Mailing Address3840 N Commerce St, Suite 100North Las Vegas, NV 89032-8104 · (702) 649-5995 · Fax (702) 399-9801
Phone(702) 377-1198
Sole ProprietorYes
Enumeration DateDecember 19, 2012
Last NPPES UpdateAugust 18, 2022
NPPES CertifiedAugust 18, 2022
✔ NPI 1043556087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
License✔ Licensed in NV · 1404123254
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Also ListedRehabilitation CounselorTaxonomy 225C00000X
5000 W OAKEY BLVD STE A3-4, Las Vegas, NV 89146
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Secondary Practice Location 1

Location 13840 N Commerce St, Suite 100North Las Vegas, NV 89032-8104 · Phone (702) 649-5995 · Fax (702) 399-9801

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEVONEE'S HEART & SOUL HEALTHCARE LLC
In Home Supportive Care
5000 W OAKEY BLVD STE A3-4
LAS VEGAS, NV 89146
Clark County (702) 690-6984

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antoinette Jackson's NPI number?

The NPI number for Antoinette Jackson is 1043556087. It was assigned to this individual provider in the NPPES registry on December 19, 2012.

Where is Antoinette Jackson located?

Antoinette Jackson practices at 5000 W Oakey Blvd Ste A3-4, Las Vegas, NV 89146. The listed phone number is (702) 377-1198.

What is Antoinette Jackson's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Antoinette Jackson was last updated on August 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.