JAID MONIQUE JACKSON LPN NPI 1396247409

NPI Information

  • NPI: 1396247409
  • Provider Name: JAID MONIQUE JACKSON, LPN
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 902 SUMMIT GARDENS BLVD
    KENT, OH
    ZIP 44240
  • Phone: (216) 867-8668

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NPI Details

Jaid Monique Jackson, LPN is a licensed practical nurse in Kent, OH. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Jaid Monique Jackson, LPN NPI is 1396247409. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

902 SUMMIT GARDENS BLVD
KENT, OH
ZIP 44240-736
Phone: (216) 867-8668

The enumeration date for this NPI number is 3/5/2018 and was last updated on 3/5/2018.

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
1164W00000XLicensed Practical Nurse161993OHIOYes

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

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