Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacquelyn Elisalde

Individual provider Rehabilitation Practitioner · NPI 1023367869

Jacquelyn Elisalde is a Rehabilitation Practitioner in Las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2012
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Practice location Address checks out

3620 N Rancho Dr Ste 113
Las Vegas, NV 89130-9998
Phone: (702) 362-5181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X · Licence 193450A (NV)

Record details

NPI number1023367869
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 7, 2012
Last updated in NPPESOctober 4, 2012

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