CHARLENE JACKSON
NPI 1689994683
Licensed Practical Nurse in Lake Station, IN

Q: What is Charlene Jackson's NPI number?

The NPI number for Charlene Jackson is 1689994683. It was assigned to this individual provider in the NPPES registry on June 2, 2010.

Q: What is Charlene 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 Charlene Jackson was last updated on June 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since June 02, 2010

2075 RIPLEY ST, LAKE STATION, IN 46405(219) 962-9437 Get Directions Write a Review

NPPES record last updated: June 2, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Charlene Jackson NPPES

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

CHARLENE JACKSON (NPI 1689994683) is an individual licensed practical nurse in Lake Station, Indiana, licensed in Indiana (27031267A) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1689994683

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameCHARLENE JACKSON

Location Address2075 RIPLEY STLake Station, IN 46405-1161

Mailing Address1063 Wallace StGary, IN 46404-1818

Phone(219) 962-9437

Sole ProprietorNo

Enumeration DateJune 2, 2010

✔ NPI 1689994683 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 IN · 27031267A

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.

2075 RIPLEY ST, Lake Station, IN 46405

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Other Providers at the Same Location NPPES 2

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

JENNIFER MARIE LEGG LPN

Licensed Practical Nurse

2075 RIPLEY ST
LAKE STATION, IN 46405

Lake County (219) 962-5311

SOUTHLAKE TRICITY RBA

Custodial Care Facility

2075 RIPLEY ST
LAKE STATION, IN 46405

Lake County (219) 962-9437

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 Charlene Jackson's NPI number?

The NPI number for Charlene Jackson is 1689994683. It was assigned to this individual provider in the NPPES registry on June 2, 2010.

Where is Charlene Jackson located?

Charlene Jackson practices at 2075 Ripley St, Lake Station, IN 46405. The listed phone number is (219) 962-9437.

What is Charlene 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 Charlene Jackson was last updated on June 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.