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MELISSA JACKSON LVN
NPI 1194475012
Licensed Vocational Nurse in Austin, TX

Active since March 24, 2022
1110 W WILLIAM CANNON DR STE 303, AUSTIN, TX 78745(512) 899-2100(512) 899-2205 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Melissa Jackson Lvn NPPES

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

MELISSA JACKSON LVN (NPI 1194475012) is an individual licensed vocational nurse in Austin, Texas, licensed in Texas (170941) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1194475012
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameMELISSA JACKSONCredential: LVN
Location Address1110 W WILLIAM CANNON DR STE 303Austin, TX 78745-3188
Mailing Address7216 White Panda RunDel Valle, TX 78617-3581 · (512) 423-8221
Phone(512) 899-2100
Fax(512) 899-2205
Sole ProprietorNo
Enumeration DateMarch 24, 2022
NPPES CertifiedMarch 24, 2022
✔ NPI 1194475012 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 · 170941
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.
1110 W WILLIAM CANNON DR STE 303, Austin, TX 78745
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Other Providers at the Same Location NPPES 10

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

JERRIE DENISE SAN LUIS RN
Registered Nurse (Addiction (Substance Use Disorder))
1110 W WILLIAM CANNON DR STE 303
AUSTIN, TX 78745
Travis County (512) 899-2100
ELISABETH KAY SYKES RN
Registered Nurse
1110 W WILLIAM CANNON DR STE 303
AUSTIN, TX 78745
Travis County (512) 899-2100
JADE ANN MENA LCDC
Counselor (Addiction (Substance Use Disorder))
1110 W WILLIAM CANNON DR STE 303
AUSTIN, TX 78745
Travis County (512) 899-2100
MAINTENANCE AND RECOVERY SERVICES, INC.
Clinic/Center (Methadone)
1110 W WILLIAM CANNON DR STE 303
AUSTIN, TX 78745
Travis County (512) 339-9757
JOSEPH D KRAUSE LCDC
Counselor (Addiction (Substance Use Disorder))
1110 W WILLIAM CANNON DR STE 303
AUSTIN, TX 78745
Travis County (512) 899-2100
JENNIFER N HINE LCDC
Counselor (Addiction (Substance Use Disorder))
1110 W WILLIAM CANNON DR STE 303
AUSTIN, TX 78745
Travis County (512) 899-2100
MAINTENANCE AND RECOVERY SERVICES, INC.
Clinic/Center (Methadone)
1110 W WILLIAM CANNON DR STE 303
AUSTIN, TX 78745
Travis County (512) 899-2100
LAUREN M DECHANT LCDC
Counselor (Addiction (Substance Use Disorder))
1110 W WILLIAM CANNON DR STE 303
AUSTIN, TX 78745
Travis County (512) 899-2100

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 Melissa Jackson's NPI number?

The NPI number for Melissa Jackson is 1194475012. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Melissa Jackson located?

Melissa Jackson practices at 1110 W William Cannon Dr Ste 303, Austin, TX 78745. The listed phone number is (512) 899-2100.

What is Melissa 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 Melissa Jackson was last updated on March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.