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

Stephania Jackson

Individual provider In Home Supportive Care Agency · NPI 1639816010

Stephania Jackson is an In Home Supportive Care Agency in Las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2022

Practice location Address checks out

4080 E Lake Mead Blvd Ste B111
Las Vegas, NV 89115-6466
Phone: (702) 531-9344
Show map & directions

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

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X (NV)

Record details

NPI number1639816010
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 17, 2022
Last updated in NPPESMay 17, 2022
Certification dateMay 17, 2022

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