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MRS. KIMIKO RENA JACKSON LPN
NPI 1013493477
Licensed Practical Nurse in Tacoma, WA

Active since July 18, 2018

NPPES record last updated: July 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kimiko Rena Jackson Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KIMIKO RENA JACKSON LPN (NPI 1013493477) is an individual licensed practical nurse in Tacoma, Washington, licensed in Washington (LP60276858) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1013493477
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. KIMIKO RENA JACKSONCredential: LPN
Location Address3629 S D STTacoma, WA 98418-6813
Mailing Address3629 S D StTacoma, WA 98418-6813 · (253) 798-4612
Phone(253) 798-4612
Sole ProprietorNo
Enumeration DateJuly 18, 2018
✔ NPI 1013493477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in WA · LP60276858
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
3629 S D ST, Tacoma, WA 98418
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KAREN JANE GARVIN CDP
Counselor (Addiction (Substance Use Disorder))
3629 S D ST
TACOMA, WA 98418
Pierce County (253) 798-6500
TACOMA-PIERCE COUNTY HEALTH DEPARTMENT
Public Health or Welfare
3629 S D ST
TACOMA, WA 98418
Pierce County (253) 798-2852
JANET E PETERSON RN
Registered Nurse (Community Health)
3629 S D ST
TACOMA, WA 98418
Pierce County (253) 255-8379
VALERIE CUBEAN ROBERTSON
Licensed Practical Nurse
3629 S D ST
TACOMA, WA 98418
Pierce County (253) 798-6576
RICHARD BUCKWALD
Nurse's Aide
3629 S D ST
TACOMA, WA 98418
Pierce County (253) 798-6576
KATHRYN M JENNINGS RN
Registered Nurse (Community Health)
3629 S D ST
TACOMA, WA 98418
Pierce County (253) 683-6856
MS. SUSAN KAY SHANNON CDP
Counselor (Addiction (Substance Use Disorder))
3629 S D ST
TACOMA, WA 98418
Pierce County (253) 798-6576
ANUKRATI SHUKLA MBBS
Internal Medicine
3629 S D ST
TACOMA, WA 98418
Pierce County (253) 649-1500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimiko Jackson's NPI number?

The NPI number for Kimiko Jackson is 1013493477. It was assigned to this individual provider in the NPPES registry on July 18, 2018.

Where is Kimiko Jackson located?

Kimiko Jackson practices at 3629 S D St, Tacoma, WA 98418. The listed phone number is (253) 798-4612.

What is Kimiko Jackson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kimiko Jackson was last updated on July 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.