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LAKILAH JACKSON
NPI 1659031722
Licensed Practical Nurse in Youngstown, OH

Active since December 30, 2021
3530 BELMONT AVE STE 2, YOUNGSTOWN, OH 44505(614) 339-0806 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakilah Jackson NPPES

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

LAKILAH JACKSON (NPI 1659031722) is an individual licensed practical nurse in Youngstown, Ohio, licensed in Ohio (LPN.168689.MEDS.IV) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1659031722
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameLAKILAH JACKSON
Location Address3530 BELMONT AVE STE 2Youngstown, OH 44505-1400
Mailing Address3530 Belmont Ave Ste 2Youngstown, OH 44505-1400 · (614) 339-0806
Phone(614) 339-0806
Sole ProprietorYes
Enumeration DateDecember 30, 2021
NPPES CertifiedDecember 30, 2021
✔ NPI 1659031722 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 · LPN.168689.MEDS.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.
3530 BELMONT AVE STE 2, Youngstown, OH 44505
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Other Identifiers 1

Medicaid2910854OH

Other Providers at the Same Location NPPES 19

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

CHRISTINA DIEHL
Case Manager/Care Coordinator
3530 BELMONT AVE STE 2
YOUNGSTOWN, OH 44505
Mahoning County (614) 339-1649
TANYA COOK
Case Manager/Care Coordinator
3530 BELMONT AVE STE 2
YOUNGSTOWN, OH 44505
Mahoning County (614) 339-0806
DEANNA PESA
Case Manager/Care Coordinator
3530 BELMONT AVE STE 2
YOUNGSTOWN, OH 44505
Mahoning County (330) 750-7904
ARRELLE ROBINSON
Case Manager/Care Coordinator
3530 BELMONT AVE STE 2
YOUNGSTOWN, OH 44505
Mahoning County (614) 339-0806
AMBER ALBAUGH
Case Manager/Care Coordinator
3530 BELMONT AVE STE 2
YOUNGSTOWN, OH 44505
Mahoning County (614) 339-1640
TIERRA AGEE
Case Manager/Care Coordinator
3530 BELMONT AVE STE 2
YOUNGSTOWN, OH 44505
Mahoning County (614) 339-1640
MRS. MARIA ELIZABETH BAILEY PMHNP, B-C
Nurse Practitioner (Psychiatric/Mental Health)
3530 BELMONT AVE STE 2
YOUNGSTOWN, OH 44505
Mahoning County (330) 750-0974
KRISTINA MOORE
Case Manager/Care Coordinator
3530 BELMONT AVE STE 2
YOUNGSTOWN, OH 44505
Mahoning County (614) 339-0806

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 Lakilah Jackson's NPI number?

The NPI number for Lakilah Jackson is 1659031722. It was assigned to this individual provider in the NPPES registry on December 30, 2021.

Where is Lakilah Jackson located?

Lakilah Jackson practices at 3530 Belmont Ave Ste 2, Youngstown, OH 44505. The listed phone number is (614) 339-0806.

What is Lakilah 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 Lakilah Jackson was last updated on December 30, 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.