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

Damita Jackson, CNA

Individual provider Surgical Technologist · NPI 1982366845

Damita Jackson, CNA is a Surgical Technologist in Kansas City, Missouri. Practices as a sole proprietor. Licensed in Missouri and Virginia.

Licensed in
MO, VA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

1616 NE 81st St
Kansas City, MO 64118-8245
Phone: (816) 783-7938
Show map & directions

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

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X · Licence 100018A (MO)
Surgical Technologist Taxonomy 246ZS0410X · Licence 189164 (VA)

Record details

NPI number1982366845
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNA
Sole proprietorYes
NPI enumeratedOctober 7, 2021
Last updated in NPPESOctober 7, 2021
Certification dateOctober 7, 2021
Mailing address1616 Ne 81st St, Kansas City, MO 64118-8245

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