1. Home
  2. Directory
  3. Illinois
  4. Matteson
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MISS AMANI DIANNE JACKSON
NPI 1962864447
Student in an Organized Health Care Education/Training Program in Matteson, IL

Active since March 24, 2016
3631 213TH ST, MATTESON, IL 60443(708) 724-4170 Get Directions Write a Review

NPPES record last updated: March 24, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Amani Dianne Jackson NPPES

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

MISS AMANI DIANNE JACKSON (NPI 1962864447) is an individual student in an organized health care education/training program in Matteson, Illinois and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1962864447
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMISS AMANI DIANNE JACKSON
Location Address3631 213TH STMatteson, IL 60443-2510
Mailing Address1020 Park Drive, P.o. Box #725Flossmoor, IL 60422 · (708) 724-4170
Phone(708) 724-4170
Sole ProprietorNo
Enumeration DateMarch 24, 2016
✔ NPI 1962864447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
3631 213TH ST, Matteson, IL 60443
Open in Google Maps ↗

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 Amani Jackson's NPI number?

The NPI number for Amani Jackson is 1962864447. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Where is Amani Jackson located?

Amani Jackson practices at 3631 213th St, Matteson, IL 60443. The listed phone number is (708) 724-4170.

What is Amani Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Amani Jackson was last updated on March 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.