MRS. MISTY A JACKSON LPN
NPI 1083843437
Licensed Practical Nurse in Huber Heights, OH

Q: What is Misty Jackson's NPI number?

The NPI number for Misty Jackson is 1083843437. It was assigned to this individual provider in the NPPES registry on July 7, 2009.

Q: What is Misty Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Misty Jackson was last updated on July 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since July 07, 2009

4301 KITRIDGE RD, HUBER HEIGHTS, OH 45424(937) 867-1793 Get Directions Write a Review

NPPES record last updated: July 7, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mrs. Misty A Jackson Lpn NPPES

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

MRS. MISTY A JACKSON LPN (NPI 1083843437) is an individual licensed practical nurse in Huber Heights, Ohio, licensed in Ohio (PN-133445-IV) and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1083843437

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMRS. MISTY A JACKSONCredential: LPN

Location Address4301 KITRIDGE RDHuber Heights, OH 45424-6022

Mailing Address4301 Kitridge Rd.Huber Heights, OH 45424 · (937) 867-1793

Phone(937) 867-1793

Sole ProprietorYes

Enumeration DateJuly 7, 2009

✔ NPI 1083843437 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 OH · PN-133445-IV

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.

4301 KITRIDGE RD, Huber Heights, OH 45424

Open in Google Maps ↗

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 Misty Jackson's NPI number?

The NPI number for Misty Jackson is 1083843437. It was assigned to this individual provider in the NPPES registry on July 7, 2009.

Where is Misty Jackson located?

Misty Jackson practices at 4301 Kitridge Rd, Huber Heights, OH 45424. The listed phone number is (937) 867-1793.

What is Misty 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 Misty Jackson was last updated on July 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.