LANETTA JACKSON LPN
NPI 1417344664
Licensed Practical Nurse in Lakewood, OH

Active since April 24, 2015
18915 DETROIT EXT APT 406, LAKEWOOD, OH 44107(216) 703-4778 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lanetta Jackson Lpn NPPES

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

LANETTA JACKSON LPN (NPI 1417344664) is an individual licensed practical nurse in Lakewood, Ohio, licensed in New York (2760411) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1417344664
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameLANETTA JACKSONCredential: LPN
Location Address18915 DETROIT EXT APT 406Lakewood, OH 44107-3234
Mailing Address18915 Detroit Ext Apt 406Lakewood, OH 44107-3234 · (216) 703-4778
Sole ProprietorYes
Enumeration DateApril 24, 2015
Last NPPES UpdateJune 16, 2025
NPPES CertifiedJune 16, 2025
NPI 1417344664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 2760411
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.
Also ListedHomemakerTaxonomy 376J00000X
18915 DETROIT EXT APT 406, Lakewood, OH 44107

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 Lanetta Jackson's NPI number?

The NPI number for Lanetta Jackson is 1417344664. It was assigned to this individual provider in the NPPES registry on April 24, 2015.

Where is Lanetta Jackson located?

Lanetta Jackson practices at 18915 Detroit Ext Apt 406, Lakewood, OH 44107. The listed phone number is (216) 703-4778.

What is Lanetta 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 Lanetta Jackson was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.