LANETTA JACKSON LPN NPI 1417344664

NPI Information

  • NPI: 1417344664
  • Provider Name: LANETTA JACKSON, LPN
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 18915 DETROIT EXT APT 406
    LAKEWOOD, OH
    ZIP 44107
  • Phone: (216) 703-4778

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NPI Details

Lanetta Jackson, LPN is a licensed practical nurse in Lakewood, 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. Lanetta Jackson, LPN NPI is 1417344664. 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:

18915 DETROIT EXT APT 406
LAKEWOOD, OH
ZIP 44107-234
Phone: (216) 703-4778

The enumeration date for this NPI number is 4/24/2015 and was last updated on 6/16/2025.

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
1376J00000XHomemakerNo
2164W00000XLicensed Practical Nurse2760411NEW YORKYes

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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