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

Eloise Jackson

Individual provider Licensed Practical Nurse · NPI 1750015327

Eloise Jackson is a Licensed Practical Nurse in Johnson City, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2022

Practice location Address checks out

219 Princeton Rd
Johnson City, TN 37601-2052
Phone: (423) 975-2200
Fax: (423) 975-2210
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 90697 (TN)

Record details

NPI number1750015327
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 11, 2022
Last updated in NPPESJuly 11, 2022
Certification dateJuly 11, 2022
Mailing address219 Princeton Rd, Johnson City, TN 37601-2052

Other providers in Johnson City