Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANNITTA JACKSON, LPN
ActiveANNITTA JACKSON, LPN is a Licensed Practical Nurse healthcare provider located in SOUTH BEND, Indiana. NPI 1750077210 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · SOUTH BEND, IN
Registration Details
- NPI Number
- 1750077210
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 17, 2023 (3.3190364229998 yrs)
- Last Updated
- Apr 17, 2023
- License
-
27060852A (IN)
Practice Information
- Address
-
621 MEMORIAL DR STE 402SOUTH BEND, IN, 466011074Browse IN providers · Browse ZIP 46601
- Phone
- 5744004550
- Fax
- 5744004551
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in SOUTH BEND, IN
| Name | Credential | NPI |
|---|---|---|
| JUDY DODD | LPN | 1255529368 |
| HEIDI DAVONNE BROWN | LPN, CMLD, CEO | 1356841944 |
| SHANETTA DENISE SAVADO | LPN | 1437712916 |
| KELLI ANN HOWARD | LPN | 1407418817 |
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.