MRS. JACKLENE JACKSON RN
NPI 1386183416
Registered Nurse - Community Health in Warm Springs, OR

Q: What is Jacklene Jackson's NPI number?

The NPI number for Jacklene Jackson is 1386183416. It was assigned to this individual provider in the NPPES registry on February 22, 2017. The provider is also known as Jacklene Light Rn.

Q: What is Jacklene Jackson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Community Health, with taxonomy code 163WC1500X.

Q: When was this NPI record last updated?

The NPPES record for Jacklene Jackson was last updated on February 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 February 22, 2017

1270 KOT-NUM RD., WARM SPRINGS, OR 97761(541) 553-1196 Get Directions Write a Review

NPPES record last updated: February 22, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mrs. Jacklene Jackson Rn NPPES

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

MRS. JACKLENE JACKSON RN (NPI 1386183416) is an individual community health provider in Warm Springs, Oregon, licensed in Oregon (201242738RN) and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1386183416

Entity TypeIndividualFemale

Primary Taxonomy163WC1500X

Provider Legal NameMRS. JACKLENE JACKSONCredential: RN

Location Address1270 KOT-NUM RD.Warm Springs, OR 97761

Mailing AddressPo Box CWarm Springs, OR 97761-3001 · (541) 553-1196

Phone(541) 553-1196

Sole ProprietorNo

Enumeration DateFebruary 22, 2017

✔ NPI 1386183416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Community HealthNursing Service Providers

Taxonomy Code163WC1500X

License✔ Licensed in OR · 201242738RN

1270 KOT-NUM RD., Warm Springs, OR 97761

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Other Names 1

Former Name (1)Jacklene Light Rn

Other Providers at the Same Location NPPES

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

DR. STEPHEN MILES RUDD MD

Family Medicine

1270 KOT-NUM RD.
WARM SPRINGS, OR 97761

Jefferson County (541) 553-1196

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 Jacklene Jackson's NPI number?

The NPI number for Jacklene Jackson is 1386183416. It was assigned to this individual provider in the NPPES registry on February 22, 2017. The provider is also known as Jacklene Light Rn.

Where is Jacklene Jackson located?

Jacklene Jackson practices at 1270 Kot-Num Rd., Warm Springs, OR 97761. The listed phone number is (541) 553-1196.

What is Jacklene Jackson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Community Health, with taxonomy code 163WC1500X.

When was this NPI record last updated?

The NPPES record for Jacklene Jackson was last updated on February 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.