Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Annitta Jackson, LPN

Individual provider Licensed Practical Nurse · NPI 1750077210

Annitta Jackson, LPN is a Licensed Practical Nurse in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2023.

Licensed in
IN
In the registry since
2023
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

621 Memorial Dr Ste 402
South Bend, IN 46601-1074
Phone: (574) 400-4550
Fax: (574) 400-4551
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 27060852A (IN)

Record details

NPI number1750077210
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorNo
NPI enumeratedApril 17, 2023
Last updated in NPPESApril 17, 2023
Certification dateApril 17, 2023
Mailing address621 Memorial Dr Ste 402, South Bend, IN 46601-1074

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