Jaclyn Jackson
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1982181954
StatusActive
Last updated in NPPESJul 23, 2018
Details
- NPI
- 1982181954
- Entity type
- Individual (NPI-1)
- Name
- Jaclyn Jackson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2018
- Last updated
- Jul 23, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
4550 W Oakey Blvd Ste 101Las Vegas, NV 89102-1506
Phone 702-906-1999 · Fax 702-906-1998
Mailing address
6490 Longhorn LnPahrump, NV 89061-8272
Phone 702-821-5223
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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