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SAMANTHA JO JACKSON LPN
NPI 1447111398
Licensed Practical Nurse in Oklahoma City, OK

Active since November 20, 2025
1613 SE 66TH ST, OKLAHOMA CITY, OK 73149(405) 616-3366 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samantha Jo Jackson Lpn NPPES

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

SAMANTHA JO JACKSON LPN (NPI 1447111398) is an individual licensed practical nurse in Oklahoma City, Oklahoma, licensed in Oklahoma (L0048019) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1447111398
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSAMANTHA JO JACKSONCredential: LPN
Location Address1613 SE 66TH STOklahoma City, OK 73149-5203
Mailing Address2063 W Lindsey St Apt GNorman, OK 73069-4130 · (405) 616-3366
Phone(405) 616-3366
Sole ProprietorYes
Enumeration DateNovember 20, 2025
NPPES CertifiedNovember 20, 2025
✔ NPI 1447111398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OK · L0048019
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.
1613 SE 66TH ST, Oklahoma City, OK 73149
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

CHERYL NANETTE SANDERS MSW
Case Manager/Care Coordinator
1613 SE 66TH ST
OKLAHOMA CITY, OK 73149
Oklahoma County (405) 616-3366
JESSE LOREN GALL LPC-C
Counselor
1613 SE 66TH ST
OKLAHOMA CITY, OK 73149
Oklahoma County (918) 619-9094
MRS. RAECHYL FULLER
Registered Nurse
1613 SE 66TH ST
OKLAHOMA CITY, OK 73149
Oklahoma County (405) 616-3366
LAUREN BROOKE MAY
Case Manager/Care Coordinator
1613 SE 66TH ST
OKLAHOMA CITY, OK 73149
Oklahoma County (405) 616-3366
RANDI N ANDERSON
Case Manager/Care Coordinator
1613 SE 66TH ST
OKLAHOMA CITY, OK 73149
Oklahoma County (405) 616-3366
CHRISTINA POWELL
Counselor (Addiction (Substance Use Disorder))
1613 SE 66TH ST
OKLAHOMA CITY, OK 73149
Oklahoma County (405) 616-3366
LICHELLE MYNEKIA BLACK LPN
Licensed Practical Nurse
1613 SE 66TH ST
OKLAHOMA CITY, OK 73149
Oklahoma County (405) 616-3366
KATHY DAWN KIRK
Licensed Practical Nurse
1613 SE 66TH ST
OKLAHOMA CITY, OK 73149
Oklahoma County (405) 616-3366

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 Samantha Jackson's NPI number?

The NPI number for Samantha Jackson is 1447111398. It was assigned to this individual provider in the NPPES registry on November 20, 2025.

Where is Samantha Jackson located?

Samantha Jackson practices at 1613 SE 66th St, Oklahoma City, OK 73149. The listed phone number is (405) 616-3366.

What is Samantha 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 Samantha Jackson was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.