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MELANIE JACKSON
NPI 1326763863
Registered Nurse - Administrator in Gary, IN

Active since October 06, 2022
1110 W 5TH AVE, GARY, IN 46402(219) 885-4264 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melanie Jackson NPPES

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

MELANIE JACKSON (NPI 1326763863) is an individual administrator provider in Gary, Indiana, licensed in Indiana (28276880A) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1326763863
Entity TypeIndividualFemale
Primary Taxonomy163WA2000X
Provider Legal NameMELANIE JACKSON
Location Address1110 W 5TH AVEGary, IN 46402-1723
Mailing Address1100 W 6th AveGary, IN 46402-1711 · (219) 885-4264
Phone(219) 885-4264
Sole ProprietorNo
Enumeration DateOctober 6, 2022
NPPES CertifiedOctober 6, 2022
✔ NPI 1326763863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · AdministratorNursing Service Providers
Taxonomy Code163WA2000X
License✔ Licensed in IN · 28276880A
1110 W 5TH AVE, Gary, IN 46402
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Other Providers at the Same Location NPPES 9

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

DARIUS BRANNON B.A., CADAC II
Counselor (Addiction (Substance Use Disorder))
1110 W 5TH AVE
GARY, IN 46402
Lake County (219) 885-6424
KIMBERLY TURNER
Assistant Behavior Analyst
1110 W 5TH AVE
GARY, IN 46402
Lake County (219) 885-4264
ROBIN SCHULTE
Licensed Practical Nurse
1110 W 5TH AVE
GARY, IN 46402
Lake County (219) 885-4264
VICTORIA CHARLESTON LCAC
Counselor (Addiction (Substance Use Disorder))
1110 W 5TH AVE
GARY, IN 46402
Lake County (219) 885-4264
EDGEWATER SYSTEMS FOR BALANCED LIVING, INC
Clinic/Center (Rehabilitation, Substance Use Disorder)
1110 W 5TH AVE
GARY, IN 46402
Lake County (219) 885-4264
TROY CHILDERS
Peer Specialist
1110 W 5TH AVE
GARY, IN 46402
Lake County (219) 885-4264
RUTH BERNICE WILSON MS
Counselor (Addiction (Substance Use Disorder))
1110 W 5TH AVE
GARY, IN 46402
Lake County (219) 885-4264
HAROLD BROWN
Counselor (Addiction (Substance Use Disorder))
1110 W 5TH AVE
GARY, IN 46402
Lake County (219) 885-4264

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 Melanie Jackson's NPI number?

The NPI number for Melanie Jackson is 1326763863. It was assigned to this individual provider in the NPPES registry on October 6, 2022.

Where is Melanie Jackson located?

Melanie Jackson practices at 1110 W 5th Ave, Gary, IN 46402. The listed phone number is (219) 885-4264.

What is Melanie Jackson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Administrator, with taxonomy code 163WA2000X.

When was this NPI record last updated?

The NPPES record for Melanie Jackson was last updated on October 6, 2022. 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.