MS. ARLENE C JACKSON RN MBA NPI 1184577520

NPI Information

  • NPI: 1184577520
  • Provider Name: MS. ARLENE C JACKSON, RN, MBA
  • Classification: Registered Nurse - 163WG0000X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 8959 S OGLESBY AVE
    CHICAGO, IL
    ZIP 60617
  • Phone: (773) 817-3572

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NPI Details

MS. Arlene C Jackson, RN, MBA is a general practice registered nurse in Chicago, IL. MS. Arlene C Jackson, RN, MBA NPI is 1184577520. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8959 S OGLESBY AVE
CHICAGO, IL
ZIP 60617-048
Phone: (773) 817-3572

The enumeration date for this NPI number is 2/17/2026 and was last updated on 2/17/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WA0400XRegistered NurseAddiction (Substance Use Disorder)041301090ILLINOISNo
2163WP0808XRegistered NursePsychiatric/Mental Health041301090ILLINOISNo
3163WG0000XRegistered NurseGeneral Practice041301090ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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