Charlotte Lynetta Jackson

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

253464 Issued in TX

Practice address

7610 Ashmole LN
Houston, TX 77088-5658

Phone

(713) 898-8337

NPI assigned

Apr 17, 2019

Sex

Female

Sole proprietor

No

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": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1740843507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 ASHMOLE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770885658",
            "telephone_number": "713-898-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 ASHMOLE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770885658",
            "telephone_number": "713-898-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CHARLOTTE",
        "middle_name": "LYNETTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TX",
            "license": "253464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camellia Jackson, L.C.S.W.
• Cameron Lee Jackson, D.C.
• Carey Bernard Jackson
• Carey Lynn Jackson, MA, LPC-S
• Carla Renee Jackson
• Cheyenne Jackson, MS
• Chrystal Jackson
• Clifford Jackson III
• Cody Blake Jackson, FNP-C
• Constance A. Jackson, LPC

• Pediatric Registered Nurse in Houston, TX
• Providers in Houston, TX by specialty
• Pediatric Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.