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TANA JACKSON-WILSON
NPI 1639504152
Licensed Practical Nurse in Phoenix, AZ

Active since September 04, 2013
4612 N 28TH ST, CAMELBACK HS MEDICALLY FRAGILE, PHOENIX, AZ 85016(602) 764-7122 Get Directions Write a Review

NPPES record last updated: September 4, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tana Jackson-wilson NPPES

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

TANA JACKSON-WILSON (NPI 1639504152) is an individual licensed practical nurse in Phoenix, Arizona, licensed in Arizona (LP048815) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1639504152
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameTANA JACKSON-WILSON
Location Address4612 N 28TH ST, CAMELBACK HS MEDICALLY FRAGILEPhoenix, AZ 85016-4931
Mailing Address4612 N 28th St, Camelback Hs Medically FragilePhoenix, AZ 85016-4931
Phone(602) 764-7122
Sole ProprietorNo
Enumeration DateSeptember 4, 2013
✔ NPI 1639504152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
Licenses✔ Licensed in AZ · LP048815✔ Licensed in IL · 043114639
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.
4612 N 28TH ST, Phoenix, AZ 85016
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Other Providers at the Same Location NPPES 10

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

MS. FOOS M OSMAN LPN
Licensed Practical Nurse
4612 N 28TH ST
PHOENIX, AZ 85016
Maricopa County (602) 764-7124
MR. ERNEST I POUNCY GUIDANCE COUNSELOR
Counselor (School)
4612 N 28TH ST
PHOENIX, AZ 85016
Maricopa County (602) 764-7034
MRS. MICHELLE KAVCAK CHARLES RN, MPH
Registered Nurse (School)
4612 N 28TH ST
PHOENIX, AZ 85016
Maricopa County (602) 764-7113
CASSANDRA HENRY RN
Registered Nurse (School)
4612 N 28TH ST
PHOENIX, AZ 85016
Maricopa County (602) 764-7114
ANDREA STEELE RN
Registered Nurse (Home Health)
4612 N 28TH ST
PHOENIX, AZ 85016
Maricopa County (602) 764-7000
MS. SUZAN PAULA PATALANO MSW,LCSW
Social Worker (Clinical)
4612 N 28TH ST
PHOENIX, AZ 85016
Maricopa County (602) 764-7106
TAYLOR LYN KLUESNER MA, CCC-SLP
Speech-Language Pathologist
4612 N 28TH ST
PHOENIX, AZ 85016
Maricopa County (602) 764-7000
KAYCEE COLEMAN
Social Worker (Clinical)
4612 N 28TH ST
PHOENIX, AZ 85016
Maricopa County (520) 975-7114

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 Tana Jackson-wilson's NPI number?

The NPI number for Tana Jackson-wilson is 1639504152. It was assigned to this individual provider in the NPPES registry on September 4, 2013.

Where is Tana Jackson-wilson located?

Tana Jackson-wilson practices at 4612 N 28th St Camelback Hs Medically Fragile, Phoenix, AZ 85016. The listed phone number is (602) 764-7122.

What is Tana Jackson-wilson'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 Tana Jackson-wilson was last updated on September 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.