MS. CHARLETTA WILLIAMS JACKSON MA/CNA
NPI 1417628090
Nurse's Aide in Baton Rouge, LA

Active since September 23, 2021
9151 INTERLINE AVE STE 5-B, BATON ROUGE, LA 70809(225) 444-5096(833) 926-1772 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Charletta Williams Jackson Ma/cna NPPES

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

MS. CHARLETTA WILLIAMS JACKSON MA/CNA (NPI 1417628090) is an individual nurse's aide in Baton Rouge, Louisiana, licensed in Louisiana (313120) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1417628090
Entity TypeIndividualFemale
Primary Taxonomy376K00000X
Provider Legal NameMS. CHARLETTA WILLIAMS JACKSONCredential: MA/CNA
Location Address9151 INTERLINE AVE STE 5-BBaton Rouge, LA 70809-1970
Mailing Address9151 Interline Ave Ste 5-bBaton Rouge, LA 70809-1970 · (225) 444-5096 · Fax (833) 926-1772
Fax(833) 926-1772
Sole ProprietorNo
Enumeration DateSeptember 23, 2021
NPPES CertifiedSeptember 23, 2021
NPI 1417628090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse's AideNursing Service Related Providers
Taxonomy Code376K00000X
License Licensed in LA · 313120
Definition
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
9151 INTERLINE AVE STE 5-B, Baton Rouge, LA 70809

Other Names 1

Professional Name (2)Charletta W Jackson Ma/cna

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 Charletta Jackson's NPI number?

The NPI number for Charletta Jackson is 1417628090. It was assigned to this individual provider in the NPPES registry on September 23, 2021. The provider is also known as Charletta W Jackson Ma/Cna.

Where is Charletta Jackson located?

Charletta Jackson practices at 9151 Interline Ave Ste 5-B, Baton Rouge, LA 70809. The listed phone number is (225) 444-5096.

What is Charletta Jackson's specialty?

The primary specialty registered for this NPI is Nurse's Aide with taxonomy code 376K00000X.

When was this NPI record last updated?

The NPPES record for Charletta Jackson was last updated on September 23, 2021. 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.