IndividualActive
Lori Jackson, RN, CDCES
NPI 1073184099 · Diabetes Educator Registered Nurse · Minneapolis, MN
Provider details
- NPI number
- 1073184099
- Entity type
- Individual
- Primary specialty
- Diabetes Educator Registered NurseNursing Service Providers
- Credential
- RN, CDCES
- Sex
- Female
- Sole proprietor
- No
- License
- 2459891 (MN)
Specialties & taxonomies
Nursing Service Providers
Practice location
1315 E 24th St Ste 1
Minneapolis, MN 55404-3959
Phone: (612) 721-9872
Fax: (612) 721-2904
Approximate (ZIP-level) locationGet directions
Mailing address
1315 E 24th St Ste 1
Minneapolis, MN 55404-3959
Registry dates
- Enumerated
- 2021-07-09
- Last updated
- 2021-07-09
- Certified
- 2021-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.