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GWENDOLYN MICHELLE JACKSON
NPI 1780144683
Technician - Personal Care Attendant in Las Vegas, NV

Active since March 25, 2019
2860 E FLAMINGO RD STE K, LAS VEGAS, NV 89121(702) 318-5005 Get Directions Write a Review

NPPES record last updated: March 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gwendolyn Michelle Jackson NPPES

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

GWENDOLYN MICHELLE JACKSON (NPI 1780144683) is an individual personal care attendant in Las Vegas, Nevada and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1780144683
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameGWENDOLYN MICHELLE JACKSON
Location Address2860 E FLAMINGO RD STE KLas Vegas, NV 89121-5270
Mailing Address5560 Aldama RdLas Vegas, NV 89122-3383
Phone(702) 318-5005
Sole ProprietorNo
Enumeration DateMarch 25, 2019
✔ NPI 1780144683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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
Also ListedChore ProviderTaxonomy 372500000X
Also ListedAdult CompanionTaxonomy 372600000X
Also ListedTechnician · Attendant Care ProviderTaxonomy 3747A0650X
Also ListedHomemakerTaxonomy 376J00000X
2860 E FLAMINGO RD STE K, Las Vegas, NV 89121
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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.

JASMINE LYNETTE HAMILTON
Technician (Personal Care Attendant)
2860 E FLAMINGO RD STE K
LAS VEGAS, NV 89121
Clark County (702) 318-5005
DIANA OSES
Technician (Personal Care Attendant)
2860 E FLAMINGO RD STE K
LAS VEGAS, NV 89121
Clark County (702) 318-5005
MS. MARIA GUADALUPE HERNANDEZ
Technician (Personal Care Attendant)
2860 E FLAMINGO RD STE K
LAS VEGAS, NV 89121
Clark County (702) 318-5005
SHINDONA LATRICE NAVE
Technician (Personal Care Attendant)
2860 E FLAMINGO RD STE K
LAS VEGAS, NV 89121
Clark County (702) 318-5005
AURIYON BUTLER
Technician (Personal Care Attendant)
2860 E FLAMINGO RD STE K
LAS VEGAS, NV 89121
Clark County (702) 318-5005
ELIAS JYTONO RILEY
Technician (Personal Care Attendant)
2860 E FLAMINGO RD STE K
LAS VEGAS, NV 89121
Clark County (702) 788-6314
BABAK RAZZAGHI
Technician (Personal Care Attendant)
2860 E FLAMINGO RD STE K
LAS VEGAS, NV 89121
Clark County (702) 318-5005
KICH THUAN CO-CHANG
Technician (Personal Care Attendant)
2860 E FLAMINGO RD STE K
LAS VEGAS, NV 89121
Clark County (702) 318-5005

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 Gwendolyn Jackson's NPI number?

The NPI number for Gwendolyn Jackson is 1780144683. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Gwendolyn Jackson located?

Gwendolyn Jackson practices at 2860 E Flamingo Rd Ste K, Las Vegas, NV 89121. The listed phone number is (702) 318-5005.

What is Gwendolyn 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 Gwendolyn Jackson was last updated on March 25, 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.