Valerie D Jackson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN.159047.MEDS-IV Issued in OH

Practice address

305 Wildberry LN
Columbus, OH 43213-6647

Phone

(614) 264-7729

NPI assigned

Nov 16, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1386157063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 WILDBERRY LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432136647",
            "telephone_number": "614-264-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 WILDBERRY LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432136647",
            "telephone_number": "614-264-7729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "VALERIE",
        "middle_name": "D",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.159047.MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tierra Nicole Jackson, PHARMD
• Toya Renee Jackson, LPN
• Traci Ann Jackson, CNP
• Tyler Jackson, LSW
• Tyren A Jackson
• Victoria F Jackson
• Yolanda Nicole Jackson
• Zian Jackson, LPC
• Jackson'S Accessible Carrier Solutions, Inc.
• Diviya Jacob

• Licensed Practical Nurse in Columbus, OH
• Providers in Columbus, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.