KRISTA JACKSON LPN NPI 1972933216

NPI Information

  • NPI: 1972933216
  • Provider Name: KRISTA JACKSON, LPN
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 4872 DEBBIE DR
    MEDINA, OH
    ZIP 44256
  • Phone: (330) 321-4012

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NPI Details

Krista Jackson, LPN is a licensed practical nurse in Medina, 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. Krista Jackson, LPN NPI is 1972933216. 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:

4872 DEBBIE DR
MEDINA, OH
ZIP 44256-675
Phone: (330) 321-4012

The enumeration date for this NPI number is 11/23/2013 and was last updated on 11/23/2013.

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 NursePN139496OHIOYes

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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