ROSHUNDA JACKSON LVN
NPI 1417560954
Licensed Vocational Nurse in Waco, TX

Active since August 25, 2020
5926 GHOLSON RD, WACO, TX 76705(254) 523-7941 Get Directions Write a Review

NPPES record last updated: August 25, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Licensed Vocational Nurse

About ROSHUNDA JACKSON

This page provides the complete NPI Profile along with additional information for Roshunda Jackson, a provider established in Waco, Texas with a medical specialization in Licensed Vocational Nurse. The healthcare provider is registered in the NPI registry with number 1417560954 assigned on August 2020. The practitioner's primary taxonomy code is 164X00000X with license number 192596 (TX). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1417560954 Verify this NPI
Provider Name
ROSHUNDA JACKSON LVN
Gender
Female
Entity Type
Individual
Location Address
5926 GHOLSON RD WACO, TX 76705
Location Phone
(254) 523-7941
Mailing Address
5926 GHOLSON RD WACO, TX 76705
Mailing Phone
(254) 523-7941
Is Sole Proprietor?
No
Enumeration Date
08-25-2020
Last Update Date
08-25-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Vocational Nurse

Taxonomy Code
164X00000X
Type
Nursing Service Providers
License No.
192596
License State
TX
Taxonomy Description
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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417560954, enumerated as an "individual" on August 25, 2020.

The provider is located at 5926 GHOLSON RD WACO, TX 76705 and the phone number is (254) 523-7941.

Licensed Vocational Nurse with taxonomy code 164X00000X.