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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JERRY WILSON
NPI 1104723857
Technician - Personal Care Attendant in Las Vegas, NV

Active since October 23, 2026
2110 E FLAMINGO RD STE 315, LAS VEGAS, NV 89119(775) 786-4999 Get Directions Write a Review

NPPES record added: October 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jerry Wilson NPPES

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

JERRY WILSON (NPI 1104723857) is an individual personal care attendant in Las Vegas, Nevada and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1104723857
Entity TypeIndividual
Primary Taxonomy3747P1801X
Provider Legal NameJERRY WILSON
Location Address2110 E FLAMINGO RD STE 315Las Vegas, NV 89119-5193
Mailing Address2110 E Flamingo Rd Ste 315Las Vegas, NV 89119-5193 · (775) 786-4999
Phone(775) 786-4999
Sole ProprietorYes
Enumeration DateOctober 23, 2026
NPPES CertifiedOctober 23, 2026
✔ NPI 1104723857 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 315, 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.

DIANA DRAPES
Technician (Personal Care Attendant)
2110 E FLAMINGO RD STE 315
LAS VEGAS, NV 89119
Clark County (775) 786-4999
DEGE ASHAGRE
Technician (Personal Care Attendant)
2110 E FLAMINGO RD STE 315
LAS VEGAS, NV 89119
Clark County (775) 786-4999
TYLER ELMORE
Technician (Personal Care Attendant)
2110 E FLAMINGO RD STE 315
LAS VEGAS, NV 89119
Clark County (877) 786-4999
JENNIFER URIBE
Technician (Personal Care Attendant)
2110 E FLAMINGO RD STE 315
LAS VEGAS, NV 89119
Clark County (877) 786-4999
ANITA G PEDERSON
Technician (Personal Care Attendant)
2110 E FLAMINGO RD STE 315
LAS VEGAS, NV 89119
Clark County (775) 786-4999
GAUBRIEL LOWE
Technician (Personal Care Attendant)
2110 E FLAMINGO RD STE 315
LAS VEGAS, NV 89119
Clark County (775) 786-4999
CLYDE MACDONALD
Technician (Personal Care Attendant)
2110 E FLAMINGO RD STE 315
LAS VEGAS, NV 89119
Clark County (877) 786-4999
ANGELO QUILES
Technician (Personal Care Attendant)
2110 E FLAMINGO RD STE 315
LAS VEGAS, NV 89119
Clark County (775) 786-4999

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 Jerry Wilson's NPI number?

The NPI number for Jerry Wilson is 1104723857. It was assigned to this individual provider in the NPPES registry on October 23, 2026.

Where is Jerry Wilson located?

Jerry Wilson practices at 2110 E Flamingo Rd Ste 315, Las Vegas, NV 89119. The listed phone number is (775) 786-4999.

What is Jerry Wilson'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 Jerry Wilson was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.