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JUDITH JACKSON
NPI 1790442309
Technician - Personal Care Attendant in Las Vegas, NV

Active since November 18, 2021
525 S DECATUR BLVD, LAS VEGAS, NV 89107(702) 998-9607 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Judith Jackson NPPES

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

JUDITH JACKSON (NPI 1790442309) is an individual personal care attendant in Las Vegas, Nevada and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1790442309
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameJUDITH JACKSON
Location Address525 S DECATUR BLVDLas Vegas, NV 89107-3910
Mailing Address525 S Decatur BlvdLas Vegas, NV 89107-3910
Phone(702) 998-9607
Sole ProprietorYes
Enumeration DateNovember 18, 2021
NPPES CertifiedNovember 18, 2021
✔ NPI 1790442309 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
525 S DECATUR BLVD, Las Vegas, NV 89107
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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.

ADRIANA ASENSIO
Technician (Personal Care Attendant)
525 S DECATUR BLVD
LAS VEGAS, NV 89107
Clark County (702) 998-9607
NEFERETITI MOORE
Technician (Personal Care Attendant)
525 S DECATUR BLVD
LAS VEGAS, NV 89107
Clark County (702) 998-9607
MAKISHA DAVIS
Technician (Personal Care Attendant)
525 S DECATUR BLVD
LAS VEGAS, NV 89107
Clark County (702) 998-9607
NORA GONZALEZ
Technician (Personal Care Attendant)
525 S DECATUR BLVD
LAS VEGAS, NV 89107
Clark County (702) 998-9607
SHONETTA MABRY
Technician (Personal Care Attendant)
525 S DECATUR BLVD
LAS VEGAS, NV 89107
Clark County (702) 998-9607
COREY BROWN
Technician (Personal Care Attendant)
525 S DECATUR BLVD
LAS VEGAS, NV 89107
Clark County (702) 998-9607
TERI WASHINGTON
Technician (Personal Care Attendant)
525 S DECATUR BLVD
LAS VEGAS, NV 89107
Clark County (702) 997-9607
CORDE MINIFIELD
Technician (Personal Care Attendant)
525 S DECATUR BLVD
LAS VEGAS, NV 89107
Clark County (702) 998-9607

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 Judith Jackson's NPI number?

The NPI number for Judith Jackson is 1790442309. It was assigned to this individual provider in the NPPES registry on November 18, 2021.

Where is Judith Jackson located?

Judith Jackson practices at 525 S Decatur Blvd, Las Vegas, NV 89107. The listed phone number is (702) 998-9607.

What is Judith 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 Judith Jackson was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.