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

Keith Jackson, CNA

Individual provider Nurse's Aide · NPI 1710781620

Keith Jackson, CNA is a Nurse's Aide in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2025.

Licensed in
NV
In the registry since
2025

Practice location Address checks out

4423 W Flamingo Rd
Las Vegas, NV 89103-3703
Phone: (702) 458-1137
Fax: (702) 458-1423
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X · Licence 88873867 (NV)

Record details

NPI number1710781620
Entity typeIndividual (Type 1)
GenderMale
Credentials CNA
Sole proprietorNo
NPI enumeratedApril 1, 2025
Last updated in NPPESApril 1, 2025
Certification dateApril 1, 2025
Mailing address4423 W Flamingo Rd, Las Vegas, NV 89103-3703

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