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MRS. ATWALAUN CHANTELLE JACKSON LPN
NPI 1912345869
Licensed Practical Nurse in Memphis, TN

Active since June 12, 2013
1734 MADISON AVE, MEMPHIS, TN 38104(901) 722-9420 Get Directions Write a Review

NPPES record last updated: June 12, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Atwalaun Chantelle Jackson Lpn NPPES

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

MRS. ATWALAUN CHANTELLE JACKSON LPN (NPI 1912345869) is an individual licensed practical nurse in Memphis, Tennessee, licensed in Tennessee (0000048918) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1912345869
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. ATWALAUN CHANTELLE JACKSONCredential: LPN
Location Address1734 MADISON AVEMemphis, TN 38104-6414
Mailing Address1734 Madison AveMemphis, TN 38104-6414 · (901) 722-9420
Phone(901) 722-9420
Sole ProprietorNo
Enumeration DateJune 12, 2013
✔ NPI 1912345869 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 · 0000048918
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.
1734 MADISON AVE, Memphis, TN 38104
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Other Providers at the Same Location NPPES 13

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

MRS. JENNIFER LAUREN RICKETT NP
Nurse Practitioner (Family)
1734 MADISON AVE
MEMPHIS, TN 38104
Shelby County (901) 489-1878
MRS. PAMELA DENISE CHEARS LADAC
Counselor
1734 MADISON AVE
MEMPHIS, TN 38104
Shelby County (901) 722-9420
BERNETTA ST. OMER BS
Counselor (Addiction (Substance Use Disorder))
1734 MADISON AVE
MEMPHIS, TN 38104
Shelby County (901) 722-9420
DANA AGRANOV
Counselor (Addiction (Substance Use Disorder))
1734 MADISON AVE
MEMPHIS, TN 38104
Shelby County (901) 722-9420
TIFFANIE ROBERTSON
Counselor (Addiction (Substance Use Disorder))
1734 MADISON AVE
MEMPHIS, TN 38104
Shelby County (901) 722-9420
BHG REFERENCE LAB, LLC
Clinical Medical Laboratory
1734 MADISON AVE
MEMPHIS, TN 38104
Shelby County (214) 365-6100
VCPHCS VIII, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
1734 MADISON AVE
MEMPHIS, TN 38104
Shelby County (901) 722-9420
SUMMER THOMPSON MAMFT
Counselor (Addiction (Substance Use Disorder))
1734 MADISON AVE
MEMPHIS, TN 38104
Shelby County (901) 722-9420

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 Atwalaun Jackson's NPI number?

The NPI number for Atwalaun Jackson is 1912345869. It was assigned to this individual provider in the NPPES registry on June 12, 2013.

Where is Atwalaun Jackson located?

Atwalaun Jackson practices at 1734 Madison Ave, Memphis, TN 38104. The listed phone number is (901) 722-9420.

What is Atwalaun 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 Atwalaun Jackson was last updated on June 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.