MRS. ASHANTI JACKSON LPN
NPI 1023719812
Licensed Practical Nurse in Hampton, GA

Active since March 17, 2023
11200 TARA GLYNN DR, HAMPTON, GA 30228(314) 386-7137 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Ashanti Jackson Lpn NPPES

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

MRS. ASHANTI JACKSON LPN (NPI 1023719812) is an individual licensed practical nurse in Hampton, Georgia, licensed in Missouri (2018040059) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1023719812
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. ASHANTI JACKSONCredential: LPN
Location Address11200 TARA GLYNN DRHampton, GA 30228-2686
Mailing Address11200 Tara Glynn DrHampton, GA 30228-2686 · (314) 736-0679
Sole ProprietorYes
Enumeration DateMarch 17, 2023
NPPES CertifiedMarch 17, 2023
NPI 1023719812 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 MO · 2018040059
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.
11200 TARA GLYNN DR, Hampton, GA 30228

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 Ashanti Jackson's NPI number?

The NPI number for Ashanti Jackson is 1023719812. It was assigned to this individual provider in the NPPES registry on March 17, 2023.

Where is Ashanti Jackson located?

Ashanti Jackson practices at 11200 Tara Glynn Dr, Hampton, GA 30228. The listed phone number is (314) 386-7137.

What is Ashanti 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 Ashanti Jackson was last updated on March 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.