AMANDA NICOLE JACKSON LPN
NPI 1528309473
Licensed Practical Nurse in Miamisburg, OH

Active since March 01, 2013
923 COTTAGE AVE, MIAMISBURG, OH 45342(937) 716-6219 Get Directions Write a Review

NPPES record last updated: March 1, 2013. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Amanda Nicole Jackson Lpn NPPES

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

AMANDA NICOLE JACKSON LPN (NPI 1528309473) is an individual licensed practical nurse in Miamisburg, Ohio, licensed in Ohio (PN.144284-M-IV) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1528309473
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameAMANDA NICOLE JACKSONCredential: LPN
Location Address923 COTTAGE AVEMiamisburg, OH 45342-1805
Mailing Address923 Cottage AveMiamisburg, OH 45342-1805 · (937) 716-6219
Sole ProprietorYes
Enumeration DateMarch 1, 2013
NPI 1528309473 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 OH · PN.144284-M-IV
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.
923 COTTAGE AVE, Miamisburg, OH 45342

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 Amanda Jackson's NPI number?

The NPI number for Amanda Jackson is 1528309473. It was assigned to this individual provider in the NPPES registry on March 1, 2013.

Where is Amanda Jackson located?

Amanda Jackson practices at 923 Cottage Ave, Miamisburg, OH 45342. The listed phone number is (937) 716-6219.

What is Amanda 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 Amanda Jackson was last updated on March 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.