ROGER JACKSON
NPI 1720653629
Registered Nurse - Home Health in La Follette, TN

Q: What is Roger Jackson's NPI number?

The NPI number for Roger Jackson is 1720653629. It was assigned to this individual provider in the NPPES registry on May 24, 2021.

Q: What is Roger Jackson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Home Health, with taxonomy code 163WH0200X.

Q: When was this NPI record last updated?

The NPPES record for Roger Jackson was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 May 24, 2021

171 NOAH LN, LA FOLLETTE, TN 37766(423) 912-5097 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Roger Jackson NPPES

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

ROGER JACKSON (NPI 1720653629) is an individual home health provider in La Follette, Tennessee, licensed in Tennessee (102279) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1720653629

Entity TypeIndividualMale

Primary Taxonomy163WH0200X

Provider Legal NameROGER JACKSON

Location Address171 NOAH LNLa Follette, TN 37766-5575

Mailing Address171 Noah LnLa Follette, TN 37766-5575 · (423) 912-5097

Phone(423) 912-5097

Sole ProprietorYes

Enumeration DateMay 24, 2021

NPPES CertifiedMay 24, 2021

✔ NPI 1720653629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyRegistered Nurse · Home HealthNursing Service Providers

Taxonomy Code163WH0200X

License✔ Licensed in TN · 102279

Also ListedRegistered Nurse · Case ManagementTaxonomy 163WC0400X · License 102279 (TN)

Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X · License 102279 (TN)

Also ListedRegistered Nurse · HospiceTaxonomy 163WH1000X · License 102279 (TN)

Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 102279 (TN)

Also ListedRegistered Nurse · Nutrition SupportTaxonomy 163WN1003X · License 102279 (TN)

171 NOAH LN, La Follette, TN 37766

Open in Google Maps ↗

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 MULTIPLE 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 Roger Jackson's NPI number?

The NPI number for Roger Jackson is 1720653629. It was assigned to this individual provider in the NPPES registry on May 24, 2021.

Where is Roger Jackson located?

Roger Jackson practices at 171 Noah Ln, La Follette, TN 37766. The listed phone number is (423) 912-5097.

What is Roger Jackson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Home Health, with taxonomy code 163WH0200X.

When was this NPI record last updated?

The NPPES record for Roger Jackson was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.