CYNTHIA DIANE JACKSON LPN
NPI 1588922934
Licensed Practical Nurse in Waukesha, WI

Active since April 23, 2012
1315 CAMDEN WAY, UNIT B, WAUKESHA, WI 53186(262) 408-2606 Get Directions Write a Review

NPPES record last updated: April 23, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Cynthia Diane Jackson Lpn NPPES

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

CYNTHIA DIANE JACKSON LPN (NPI 1588922934) is an individual licensed practical nurse in Waukesha, Wisconsin, licensed in Wisconsin (305199-31) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1588922934
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCYNTHIA DIANE JACKSONCredential: LPN
Location Address1315 CAMDEN WAY, UNIT BWaukesha, WI 53186-6850
Mailing Address1315 Camden Way, Unit BWaukesha, WI 53186-6850 · (262) 408-2606
Sole ProprietorYes
Enumeration DateApril 23, 2012
NPI 1588922934 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 WI · 305199-31
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.
1315 CAMDEN WAY, Waukesha, WI 53186

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 Cynthia Jackson's NPI number?

The NPI number for Cynthia Jackson is 1588922934. It was assigned to this individual provider in the NPPES registry on April 23, 2012.

Where is Cynthia Jackson located?

Cynthia Jackson practices at 1315 Camden Way Unit B, Waukesha, WI 53186. The listed phone number is (262) 408-2606.

What is Cynthia 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 Cynthia Jackson was last updated on April 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.