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THERESA JACKSON
NPI 1114741782
Technician - Attendant Care Provider in Las Vegas, NV

Active since November 11, 2024
4245 S GRAND CANYON DR STE 216, LAS VEGAS, NV 89147(702) 751-0356 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theresa Jackson NPPES

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

THERESA JACKSON (NPI 1114741782) is an individual attendant care provider provider in Las Vegas, Nevada and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1114741782
Entity TypeIndividualFemale
Primary Taxonomy3747A0650X
Provider Legal NameTHERESA JACKSON
Location Address4245 S GRAND CANYON DR STE 216Las Vegas, NV 89147-7165
Mailing Address4245 S Grand Canyon Dr Ste 216Las Vegas, NV 89147-7165 · (702) 751-0356
Phone(702) 751-0356
Sole ProprietorNo
Enumeration DateNovember 11, 2024
NPPES CertifiedNovember 11, 2024
✔ NPI 1114741782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
4245 S GRAND CANYON DR STE 216, Las Vegas, NV 89147
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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.

WILLIAM PARKHURST
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 216
LAS VEGAS, NV 89147
Clark County (702) 751-0356
BREYANNA PARKER
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 216
LAS VEGAS, NV 89147
Clark County (702) 751-0356
LATONIA WILLIAMS
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 216
LAS VEGAS, NV 89147
Clark County (702) 751-0356
ELENA MENDOZA-FOUTS
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 216
LAS VEGAS, NV 89147
Clark County (702) 751-0356
DIANA ESTRELLA
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 216
LAS VEGAS, NV 89147
Clark County (702) 751-0356
DEBRA ZARDER
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 216
LAS VEGAS, NV 89147
Clark County (702) 751-0356
RENE WOOD
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 216
LAS VEGAS, NV 89147
Clark County (702) 751-0356
JADEDEEN CASTANEDA
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 216
LAS VEGAS, NV 89147
Clark County (702) 751-0356

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 Theresa Jackson's NPI number?

The NPI number for Theresa Jackson is 1114741782. It was assigned to this individual provider in the NPPES registry on November 11, 2024.

Where is Theresa Jackson located?

Theresa Jackson practices at 4245 S Grand Canyon Dr Ste 216, Las Vegas, NV 89147. The listed phone number is (702) 751-0356.

What is Theresa Jackson's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Theresa Jackson was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.