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ELOISE JACKSON
NPI 1750015327
Licensed Practical Nurse in Johnson City, TN

Active since July 11, 2022
219 PRINCETON RD, JOHNSON CITY, TN 37601(423) 975-2200(423) 975-2210 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Eloise Jackson NPPES

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

ELOISE JACKSON (NPI 1750015327) is an individual licensed practical nurse in Johnson City, Tennessee, licensed in Tennessee (90697) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1750015327
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameELOISE JACKSON
Location Address219 PRINCETON RDJohnson City, TN 37601-2052
Mailing Address219 Princeton RdJohnson City, TN 37601-2052 · (423) 975-2200 · Fax (423) 975-2210
Phone(423) 975-2200
Fax(423) 975-2210
Sole ProprietorYes
Enumeration DateJuly 11, 2022
NPPES CertifiedJuly 11, 2022
✔ NPI 1750015327 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 TN · 90697
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.
219 PRINCETON RD, Johnson City, TN 37601
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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.

MEGHAN A MURPHY
Registered Nurse (Community Health)
219 PRINCETON RD
JOHNSON CITY, TN 37601
Washington County (423) 975-2200
SYDNEY MCABEE
Dentist (Dental Public Health)
219 PRINCETON RD
JOHNSON CITY, TN 37601
Washington County (423) 975-2200
THELIA JEAN PETTIGREW LPN
Licensed Practical Nurse
219 PRINCETON RD
JOHNSON CITY, TN 37601
Washington County (423) 975-2200
HAILEY MALONE LPN
Licensed Practical Nurse
219 PRINCETON RD
JOHNSON CITY, TN 37601
Washington County (423) 975-2200
HEATHER MARIE TESTER RDA
Dental Assistant
219 PRINCETON RD
JOHNSON CITY, TN 37601
Washington County (423) 975-7919
ASHLEY LYONS RN
Registered Nurse (Community Health)
219 PRINCETON RD
JOHNSON CITY, TN 37601
Washington County (423) 975-2200
MRS. CLAUDIA GABRIELA LOPEZ APN
Nurse Practitioner (Family)
219 PRINCETON RD
JOHNSON CITY, TN 37601
Washington County (423) 975-2200
ELIZABETH KAYE HORTON LPN
Licensed Practical Nurse
219 PRINCETON RD
JOHNSON CITY, TN 37601
Washington County (423) 975-2200

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 Eloise Jackson's NPI number?

The NPI number for Eloise Jackson is 1750015327. It was assigned to this individual provider in the NPPES registry on July 11, 2022.

Where is Eloise Jackson located?

Eloise Jackson practices at 219 Princeton Rd, Johnson City, TN 37601. The listed phone number is (423) 975-2200.

What is Eloise 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 Eloise Jackson was last updated on July 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.