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CANITRA JACKSON
NPI 1689203812
Licensed Vocational Nurse in Austin, TX

Active since April 08, 2020
3508 FAR WEST BLVD STE 130, AUSTIN, TX 78731(512) 828-3990 Get Directions Write a Review

NPPES record last updated: April 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Canitra Jackson NPPES

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

CANITRA JACKSON (NPI 1689203812) is an individual licensed vocational nurse in Austin, Texas, licensed in Texas (350212) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1689203812
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameCANITRA JACKSON
Location Address3508 FAR WEST BLVD STE 130Austin, TX 78731-3081
Mailing Address3508 Far West Blvd Ste 130Austin, TX 78731-3081 · (512) 828-3990
Phone(512) 828-3990
Sole ProprietorNo
Enumeration DateApril 8, 2020
NPPES CertifiedApril 8, 2020
✔ NPI 1689203812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in TX · 350212
Definition
A licensed vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
3508 FAR WEST BLVD STE 130, Austin, TX 78731
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Other Providers at the Same Location NPPES 20

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

MELISSA ARANA RN
Registered Nurse (Home Health)
3508 FAR WEST BLVD STE 130
AUSTIN, TX 78731
Travis County (512) 828-3990
MARISOL LOZANO RN
Registered Nurse (Home Health)
3508 FAR WEST BLVD STE 130
AUSTIN, TX 78731
Travis County (512) 828-3990
MRS. PATRICIA C RICO RN
Registered Nurse (Pediatrics)
3508 FAR WEST BLVD STE 130
AUSTIN, TX 78731
Travis County (518) 828-3990
ADRIENNE BLAU CCC-SLP
Speech-Language Pathologist
3508 FAR WEST BLVD STE 130
AUSTIN, TX 78731
Travis County (512) 828-3990
ELISHA N NASH
Registered Nurse (Pediatrics)
3508 FAR WEST BLVD STE 130
AUSTIN, TX 78731
Travis County (512) 828-3990
GEORGE THOMAS DOSS LVN
Licensed Vocational Nurse
3508 FAR WEST BLVD STE 130
AUSTIN, TX 78731
Travis County (512) 828-3990
STACIE RENEE HABBIT X RN
Registered Nurse (Home Health)
3508 FAR WEST BLVD STE 130
AUSTIN, TX 78731
Travis County (513) 828-3990
TERRI J KAHLA RN
Registered Nurse (Case Management)
3508 FAR WEST BLVD STE 130
AUSTIN, TX 78731
Travis County (512) 828-3990

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 Canitra Jackson's NPI number?

The NPI number for Canitra Jackson is 1689203812. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Where is Canitra Jackson located?

Canitra Jackson practices at 3508 Far West Blvd Ste 130, Austin, TX 78731. The listed phone number is (512) 828-3990.

What is Canitra Jackson's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Canitra Jackson was last updated on April 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.