KRISTA JACKSON LPN
NPI 1972933216
Licensed Practical Nurse in Medina, OH

Q: What is Krista Jackson's NPI number?

The NPI number for Krista Jackson is 1972933216. It was assigned to this individual provider in the NPPES registry on November 23, 2013.

Q: What is Krista Jackson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Krista Jackson was last updated on November 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 November 23, 2013

4872 DEBBIE DR, MEDINA, OH 44256(330) 321-4012 Get Directions Write a Review

NPPES record last updated: November 23, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Krista Jackson Lpn NPPES

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

KRISTA JACKSON LPN (NPI 1972933216) is an individual licensed practical nurse in Medina, Ohio, licensed in Ohio (PN139496) and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1972933216

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameKRISTA JACKSONCredential: LPN

Location Address4872 DEBBIE DRMedina, OH 44256-8675

Mailing Address4872 Debbie DrMedina, OH 44256-8675

Phone(330) 321-4012

Sole ProprietorYes

Enumeration DateNovember 23, 2013

✔ NPI 1972933216 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 · PN139496

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.

4872 DEBBIE DR, Medina, OH 44256

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 Krista Jackson's NPI number?

The NPI number for Krista Jackson is 1972933216. It was assigned to this individual provider in the NPPES registry on November 23, 2013.

Where is Krista Jackson located?

Krista Jackson practices at 4872 Debbie Dr, Medina, OH 44256. The listed phone number is (330) 321-4012.

What is Krista 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 Krista Jackson was last updated on November 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.