ELIA DIANA JACKSON
NPI 1568964955
Student in an Organized Health Care Education/Training Program in North Las Vegas, NV

Active since March 02, 2018
417 FOXVALE AVE, NORTH LAS VEGAS, NV 89032(702) 463-0082 Get Directions Write a Review

NPPES record last updated: March 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elia Diana Jackson NPPES

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

ELIA DIANA JACKSON (NPI 1568964955) is an individual student in an organized health care education/training program in North Las Vegas, Nevada and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1568964955
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELIA DIANA JACKSON
Location Address417 FOXVALE AVENorth Las Vegas, NV 89032-6150
Mailing Address417 Foxvale AveNorth Las Vegas, NV 89032-6150 · (702) 463-0082 · Fax (702) 643-1552
Sole ProprietorNo
Enumeration DateMarch 2, 2018
NPI 1568964955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
417 FOXVALE AVE, North Las Vegas, NV 89032

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.

Technician (Personal Care Attendant)
417 FOXVALE AVE
NORTH LAS VEGAS, NV 89032
Technician (Personal Care Attendant)
417 FOXVALE AVE
NORTH LAS VEGAS, NV 89032
Technician (Personal Care Attendant)
417 FOXVALE AVE
NORTH LAS VEGAS, NV 89032
Technician (Personal Care Attendant)
417 FOXVALE AVE
NORTH LAS VEGAS, NV 89032
Technician (Personal Care Attendant)
417 FOXVALE AVE
NORTH LAS VEGAS, NV 89032
Technician (Attendant Care Provider)
417 FOXVALE AVE
NORTH LAS VEGAS, NV 89032
Technician (Personal Care Attendant)
417 FOXVALE AVE
NORTH LAS VEGAS, NV 89032
Technician (Personal Care Attendant)
417 FOXVALE AVE
NORTH LAS VEGAS, NV 89032

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 Elia Jackson's NPI number?

The NPI number for Elia Jackson is 1568964955. It was assigned to this individual provider in the NPPES registry on March 2, 2018.

Where is Elia Jackson located?

Elia Jackson practices at 417 Foxvale Ave, North Las Vegas, NV 89032. The listed phone number is (702) 463-0082.

What is Elia Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Elia Jackson was last updated on March 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.