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

Theresa Jackson

Individual provider Attendant Care Provider · NPI 1114741782

Theresa Jackson is an Attendant Care Provider in Las Vegas, Nevada. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

4245 S Grand Canyon Dr Ste 216
Las Vegas, NV 89147-7165
Phone: (702) 751-0356
Show map & directions

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

Specialties & licences

Attendant Care Provider (primary) Taxonomy 3747A0650X

Record details

NPI number1114741782
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 11, 2024
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024

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