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

Ty'Von Jackson

Individual provider Home Health Aide · NPI 1538882758

Ty'Von Jackson is a Home Health Aide 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

1771 E Flamingo Rd Ste 220A
Las Vegas, NV 89119-0850
Phone: (702) 560-2192
Show map & directions

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

Specialties & licences

Home Health Aide (primary) Taxonomy 374U00000X (NV)

Record details

NPI number1538882758
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 22, 2022
Last updated in NPPESSeptember 22, 2022
Certification dateSeptember 22, 2022

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