Individual provider · Type 1 NPI

Aleka Jaquaya Jackson

Licensed Practical Nurse · Edmond, OK

NPI number 1649084765 Active

Practice location

820 W 15th St
Edmond, OK 73013-3621

Mailing address

PO Box 12978
Oklahoma City, OK 73157-2978

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL0058007 (OK)

Licensed Practical Nurse: An individual 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.

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About NPI 1649084765

Aleka Jaquaya Jackson's National Provider Identifier is 1649084765, issued on Feb 7, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Edmond, OK. The record was last updated on Jul 7, 2025.