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RAYNELLE ANGELA JACKSON
NPI 1144844127
Licensed Vocational Nurse in Fort Worth, TX

Active since June 04, 2020
1314 LAKE ST, FORT WORTH, TX 76102(817) 810-0660 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Raynelle Angela Jackson NPPES

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

RAYNELLE ANGELA JACKSON (NPI 1144844127) is an individual licensed vocational nurse in Fort Worth, Texas, licensed in Texas (346284) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1144844127
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameRAYNELLE ANGELA JACKSON
Location Address1314 LAKE STFort Worth, TX 76102-4581
Mailing Address1314 Lake StFort Worth, TX 76102-4581 · (817) 810-0660
Phone(817) 810-0660
Sole ProprietorYes
Enumeration DateJune 4, 2020
NPPES CertifiedJune 4, 2020
✔ NPI 1144844127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in TX · 346284
Definition
A licensed vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
1314 LAKE ST, Fort Worth, TX 76102
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

ESTELA ALMANZA RN
Registered Nurse
1314 LAKE ST
FORT WORTH, TX 76102
Tarrant County (817) 810-0660
EVANGELINA BAUSTISTA
Licensed Vocational Nurse
1314 LAKE ST
FORT WORTH, TX 76102
Tarrant County (903) 532-1400
MRS. VIVIANE FANANG WILLIAMSON RN
Registered Nurse
1314 LAKE ST
FORT WORTH, TX 76102
Tarrant County (817) 810-0660
CALISTA ONUOHA
Nurse Practitioner (Family)
1314 LAKE ST
FORT WORTH, TX 76102
Tarrant County (817) 810-0660
DIANNA M MADDOX LVN
Licensed Vocational Nurse
1314 LAKE ST
FORT WORTH, TX 76102
Tarrant County (817) 810-0660
STEWART KELLER DO PA
Psychiatry & Neurology (Neurology)
1314 LAKE ST, SUITE 102
FORT WORTH, TX 76102
Tarrant County (817) 348-8333
NAOMI KEMUMA OMWENO
Licensed Vocational Nurse
1314 LAKE ST
FORT WORTH, TX 76102
Tarrant County (817) 810-0660
SAMWEL NYAGETIRIA ONYANGO
Registered Nurse
1314 LAKE ST
FORT WORTH, TX 76102
Tarrant County (817) 810-0660

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 Raynelle Jackson's NPI number?

The NPI number for Raynelle Jackson is 1144844127. It was assigned to this individual provider in the NPPES registry on June 4, 2020.

Where is Raynelle Jackson located?

Raynelle Jackson practices at 1314 Lake St, Fort Worth, TX 76102. The listed phone number is (817) 810-0660.

What is Raynelle Jackson's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Raynelle Jackson was last updated on June 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.