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

Laquisha Lachelle Jackson, REGISTEREDNURSE

Individual provider Registered Nurse · NPI 1962163204

Laquisha Lachelle Jackson, REGISTEREDNURSE is a Registered Nurse in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2022

Practice location Address checks out

4699 Salem Ave Ste 1
Dayton, OH 45416-1724
Phone: (937) 603-8335
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 412714 (OH)

Record details

NPI number1962163204
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDNURSE
Sole proprietorYes
NPI enumeratedJanuary 9, 2022
Last updated in NPPESJanuary 9, 2022
Certification dateJanuary 9, 2022

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