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CHANEL DIANA GILLIAM-JACKSON
NPI 1093369886
Technician - Personal Care Attendant in Las Vegas, NV

Active since July 30, 2019
2110 E FLAMINGO RD STE 110, LAS VEGAS, NV 89119(725) 222-7203 Get Directions Write a Review

NPPES record last updated: July 30, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Chanel Diana Gilliam-jackson NPPES

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

CHANEL DIANA GILLIAM-JACKSON (NPI 1093369886) is an individual personal care attendant in Las Vegas, Nevada and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1093369886
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameCHANEL DIANA GILLIAM-JACKSON
Location Address2110 E FLAMINGO RD STE 110Las Vegas, NV 89119-5191
Mailing Address2110 E Flamingo Rd Ste 110Las Vegas, NV 89119-5191
Phone(725) 222-7203
Sole ProprietorNo
Enumeration DateJuly 30, 2019
✔ NPI 1093369886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
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
2110 E FLAMINGO RD STE 110, Las Vegas, NV 89119
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Other Providers at the Same Location NPPES 20

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

KALIAH BURNETT
Technician (Personal Care Attendant)
2110 E FLAMINGO RD STE 110
LAS VEGAS, NV 89119
Clark County (725) 222-7203
ELIJAH STANFIELD
Technician (Personal Care Attendant)
2110 E FLAMINGO RD STE 110
LAS VEGAS, NV 89119
Clark County (725) 222-7203
AMANDA L. SLAYTON
Technician (Personal Care Attendant)
2110 E FLAMINGO RD STE 110
LAS VEGAS, NV 89119
Clark County (725) 222-7203
HELEN DEWS
Technician (Personal Care Attendant)
2110 E FLAMINGO RD STE 110
LAS VEGAS, NV 89119
Clark County (725) 222-7203
KATHRYN ANN BAILEY
Technician (Personal Care Attendant)
2110 E FLAMINGO RD STE 110
LAS VEGAS, NV 89119
Clark County (725) 222-7203
JAYTIA C JAMES
Technician (Personal Care Attendant)
2110 E FLAMINGO RD STE 110
LAS VEGAS, NV 89119
Clark County (725) 222-7203
MAXINE MIKE
Technician (Personal Care Attendant)
2110 E FLAMINGO RD STE 110
LAS VEGAS, NV 89119
Clark County (725) 222-7203
KENISHA ANDERSON
Technician (Personal Care Attendant)
2110 E FLAMINGO RD STE 110
LAS VEGAS, NV 89119
Clark County (725) 222-7203

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 Chanel Gilliam-jackson's NPI number?

The NPI number for Chanel Gilliam-jackson is 1093369886. It was assigned to this individual provider in the NPPES registry on July 30, 2019.

Where is Chanel Gilliam-jackson located?

Chanel Gilliam-jackson practices at 2110 E Flamingo Rd Ste 110, Las Vegas, NV 89119. The listed phone number is (725) 222-7203.

What is Chanel Gilliam-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 Chanel Gilliam-jackson was last updated on July 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.