TESSA DAWN JACKSON LPN - NPI 1679175194 - Licensed Practical Nurse in Oklahoma City, OK

Q: What is Tessa Jackson's NPI number?

The NPI number for Tessa Jackson is 1679175194. It was assigned to this individual provider in the NPPES registry on November 10, 2020.

Q: What is Tessa Jackson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Tessa Jackson was last updated on November 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Tessa Dawn Jackson Lpn NPPES

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

TESSA DAWN JACKSON LPN (NPI 1679175194) is an individual licensed practical nurse in Oklahoma City, Oklahoma, licensed in Oklahoma (L0051855) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1679175194

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameTESSA DAWN JACKSONCredential: LPN

Location Address1613 SE 66TH STOklahoma City, OK 73149-5203

Mailing Address1613 Se 66th StOklahoma City, OK 73149-5203 · (405) 616-3366

Phone(405) 616-3366

Sole ProprietorYes

Enumeration DateNovember 10, 2020

NPPES CertifiedNovember 10, 2020

✔ NPI 1679175194 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 · L0051855

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

Open in Google Maps ↗