Leslie D'Layne Jackson

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

43 N Cleveland St
Memphis, TN 38104-2301

Phone

(901) 333-8247

NPI assigned

Jul 20, 2020

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

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1578171039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 DEXTER LAKE DR APT 203",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380161381",
            "telephone_number": "662-812-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 N CLEVELAND ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042301",
            "telephone_number": "901-333-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LESLIE",
        "middle_name": "D'LAYNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Jackson, OD
• John Mark Jackson, OD
• Katara Evonne Jackson, MPP, RD, LDN
• Kiera Jackson
• Lauren Jackson, PHARMD, MPH
• Macey Elizabeth Jackson, DDS
• Marine Jackson
• Mary Michael Jackson, DO
• Melody Jackson, D.C.
• Mika Tralayne Jackson, APRN, PMHNP

• Social Worker in Memphis, TN
• Providers in Memphis, TN by specialty
• Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.