Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLENE JACKSON
ActiveCHARLENE JACKSON is a Licensed Practical Nurse healthcare provider located in LAKE STATION, Indiana. NPI 1689994683 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · LAKE STATION, IN
Registration Details
- NPI Number
- 1689994683
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 2, 2010 (16.021925579071 yrs)
- Last Updated
- Jun 2, 2010
- License
-
27031267A (IN)
Practice Information
- Address
-
2075 RIPLEY STLAKE STATION, IN, 464051161Browse IN providers · Browse ZIP 46405
- Phone
- 2199629437
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in LAKE STATION, IN
| Name | Credential | NPI |
|---|---|---|
| JENNIFER MARIE LEGG | LPN | 1699043190 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.