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LORI LEE JACKSON RN, CDCES
NPI 1073184099
Registered Nurse - Diabetes Educator in Minneapolis, MN

Active since July 09, 2021
1315 E 24TH ST STE 1, MINNEAPOLIS, MN 55404(612) 721-9872(612) 721-2904 Get Directions Write a Review

NPPES record last updated: July 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lori Lee Jackson Rn, Cdces NPPES

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

LORI LEE JACKSON RN, CDCES (NPI 1073184099) is an individual diabetes educator provider in Minneapolis, Minnesota, licensed in Minnesota (2459891) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1073184099
Entity TypeIndividualFemale
Primary Taxonomy163WD0400X
Provider Legal NameLORI LEE JACKSONCredential: RN, CDCES
Location Address1315 E 24TH ST STE 1Minneapolis, MN 55404-3959
Mailing Address1315 E 24th St Ste 1Minneapolis, MN 55404-3959 · (612) 721-9872 · Fax (612) 721-2904
Phone(612) 721-9872
Fax(612) 721-2904
Sole ProprietorNo
Enumeration DateJuly 9, 2021
NPPES CertifiedJuly 9, 2021
✔ NPI 1073184099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers
Taxonomy Code163WD0400X
License✔ Licensed in MN · 2459891
1315 E 24TH ST STE 1, Minneapolis, MN 55404
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Other Providers at the Same Location NPPES 7

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

DAGMAR MAYER LCSW
Social Worker (Clinical)
1315 E 24TH ST STE 1
MINNEAPOLIS, MN 55404
Hennepin County (612) 721-9800
ADRIANA MARIE YOUSSEF PHD, LP
Psychologist (Clinical Child & Adolescent)
1315 E 24TH ST STE 1
MINNEAPOLIS, MN 55404
Hennepin County (612) 721-9800
DR. PRIYA NUR RATTY
Counselor
1315 E 24TH ST STE 1
MINNEAPOLIS, MN 55404
Hennepin County (612) 721-9800
MR. KYLE XAVIER HILL PHD
Psychologist (Clinical)
1315 E 24TH ST STE 1
MINNEAPOLIS, MN 55404
Hennepin County (612) 721-9884
MS. JANET CECELIA BEAULIEU MSW, LADC
Counselor (Addiction (Substance Use Disorder))
1315 E 24TH ST STE 1
MINNEAPOLIS, MN 55404
Hennepin County (612) 721-9830
JUSTIN MIKESELL DDS
Dentist
1315 E 24TH ST STE 1
MINNEAPOLIS, MN 55404
Hennepin County (612) 721-9800
DAVID WILLIAM HENRY M.D.
Family Medicine
1315 E 24TH ST STE 1
MINNEAPOLIS, MN 55404
Hennepin County (612) 721-9800

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 Lori Jackson's NPI number?

The NPI number for Lori Jackson is 1073184099. It was assigned to this individual provider in the NPPES registry on July 9, 2021.

Where is Lori Jackson located?

Lori Jackson practices at 1315 E 24th St Ste 1, Minneapolis, MN 55404. The listed phone number is (612) 721-9872.

What is Lori Jackson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Diabetes Educator, with taxonomy code 163WD0400X.

When was this NPI record last updated?

The NPPES record for Lori Jackson was last updated on July 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.