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ELYSA JACKSON
NPI 1336856566
Technician - Personal Care Attendant in Las Vegas, NV

Active since October 27, 2022
4245 S GRAND CANYON DR STE 226, LAS VEGAS, NV 89147(702) 751-0356 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Elysa Jackson NPPES

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

ELYSA JACKSON (NPI 1336856566) is an individual personal care attendant in Las Vegas, Nevada and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1336856566
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameELYSA JACKSON
Location Address4245 S GRAND CANYON DR STE 226Las Vegas, NV 89147-7162
Mailing Address4245 S Grand Canyon Dr Ste 226Las Vegas, NV 89147-7162
Phone(702) 751-0356
Sole ProprietorNo
Enumeration DateOctober 27, 2022
NPPES CertifiedOctober 27, 2022
✔ NPI 1336856566 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
4245 S GRAND CANYON DR STE 226, 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.

EDGAR GABRIEL
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 226
LAS VEGAS, NV 89147
Clark County (702) 751-0356
THOMAS KOMENDA
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 226
LAS VEGAS, NV 89147
Clark County (702) 751-0356
REGINALD ROGOFF
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 226
LAS VEGAS, NV 89147
Clark County (702) 751-0356
ILLIANA CEJA
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 226
LAS VEGAS, NV 89147
Clark County (702) 751-0356
BOTANY PARKS
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 226
LAS VEGAS, NV 89147
Clark County (702) 751-0356
LATREKA WATSON
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 226
LAS VEGAS, NV 89147
Clark County (702) 751-0356
MATIA LAUB
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 226
LAS VEGAS, NV 89147
Clark County (702) 751-0356
MRYOSHI HOLDEN
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 226
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 Elysa Jackson's NPI number?

The NPI number for Elysa Jackson is 1336856566. It was assigned to this individual provider in the NPPES registry on October 27, 2022.

Where is Elysa Jackson located?

Elysa Jackson practices at 4245 S Grand Canyon Dr Ste 226, Las Vegas, NV 89147. The listed phone number is (702) 751-0356.

What is Elysa 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 Elysa Jackson was last updated on October 27, 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.