What is Annitta Jackson's NPI number?

Annitta Jackson's National Provider Identifier (NPI) is 1750077210, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Annitta Jackson's specialty?

Annitta Jackson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).

Where is Annitta Jackson located?

Annitta Jackson's practice location on file with NPPES is 621 Memorial Dr Ste 402, South Bend, IN 46601-1074.

What is Annitta Jackson's phone number?

The practice phone number listed in the NPPES registry for Annitta Jackson is (574) 400-4550.

Is Annitta Jackson's NPI active?

Yes — Annitta Jackson's NPI (1750077210) is active in the NPPES registry as of the last update on 2023-04-17.

IndividualActive

Annitta Jackson, LPN

NPI 1750077210 · Licensed Practical Nurse · South Bend, IN

Annitta Jackson, LPN is a Licensed Practical Nurse provider in South Bend, IN (NPI 1750077210).

Provider details

NPI number: 1750077210
Entity type: Individual
Primary specialty: Licensed Practical NurseNursing Service Providers
Credential: LPN
Sex: Female
Sole proprietor: No
License: 27060852A (IN)

Specialties & taxonomies

Licensed Practical NursePrimary164W00000XLicense 27060852A (IN)
Nursing Service Providers

Profile Score

Established profile(58/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
3 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

621 Memorial Dr Ste 402

South Bend, IN 46601-1074

Phone: (574) 400-4550

Fax: (574) 400-4551

Approximate (ZIP-level) locationGet directions

Mailing address