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KENESHA JACKSON
NPI 1700431996
Licensed Practical Nurse in Toledo, OH

Active since August 05, 2019
4937 SAN JOAQUIN DR, TOLEDO, OH 43615(567) 343-8474 Get Directions Write a Review

NPPES record last updated: August 5, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenesha Jackson NPPES

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

KENESHA JACKSON (NPI 1700431996) is an individual licensed practical nurse in Toledo, Ohio, licensed in Ohio (170597) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1700431996
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKENESHA JACKSON
Location Address4937 SAN JOAQUIN DRToledo, OH 43615-6105
Mailing Address4937 San Joaquin DrToledo, OH 43615-6105 · (567) 343-8474
Phone(567) 343-8474
Sole ProprietorYes
Enumeration DateAugust 5, 2019
✔ NPI 1700431996 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 · 170597
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.
4937 SAN JOAQUIN DR, Toledo, OH 43615
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Kenesha Jackson's NPI number?

The NPI number for Kenesha Jackson is 1700431996. It was assigned to this individual provider in the NPPES registry on August 5, 2019.

Where is Kenesha Jackson located?

Kenesha Jackson practices at 4937 San Joaquin Dr, Toledo, OH 43615. The listed phone number is (567) 343-8474.

What is Kenesha 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 Kenesha Jackson was last updated on August 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.