IndividualActive
Charletta Jackson, MA/CNA
NPI 1417628090 · Nurse's Aide · Baton Rouge, LA
Provider details
- NPI number
- 1417628090
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Credential
- MA/CNA
- Sex
- Female
- Sole proprietor
- No
- License
- 313120 (LA)
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9151 Interline Ave Ste 5-B
Baton Rouge, LA 70809-1970
Phone: (225) 444-5096
Fax: (833) 926-1772
Street-level locationGet directions
Mailing address
9151 Interline Ave Ste 5-B
Baton Rouge, LA 70809-1970
Registry dates
- Enumerated
- 2021-09-23
- Last updated
- 2021-09-23
- Certified
- 2021-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.