Tana Jackson-Wilson
NPI 1639504152 · Licensed Practical Nurse · Phoenix, AZ
Tana Jackson-Wilson is a Licensed Practical Nurse provider in Phoenix, AZ (NPI 1639504152).
Provider details
- NPI number
- 1639504152
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- LP048815 (AZ)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Mailing address
Registry dates
- Enumerated
- 2013-09-04
- Last updated
- 2013-09-04
Frequently asked questions
- What is Tana Jackson-Wilson's NPI number?
- Tana Jackson-Wilson's National Provider Identifier (NPI) is 1639504152, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tana Jackson-Wilson's specialty?
- Tana Jackson-Wilson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Tana Jackson-Wilson located?
- Tana Jackson-Wilson's practice location on file with NPPES is 4612 N 28th St, Phoenix, AZ 85016-4931.
- What is Tana Jackson-Wilson's phone number?
- The practice phone number listed in the NPPES registry for Tana Jackson-Wilson is (602) 764-7122.
- Is Tana Jackson-Wilson's NPI active?
- Yes — Tana Jackson-Wilson's NPI (1639504152) is active in the NPPES registry as of the last update on 2013-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.