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

Lori Lee Jackson, RN, CDCES

Individual provider Diabetes Educator Registered Nurse · NPI 1073184099

Lori Lee Jackson, RN, CDCES is a Diabetes Educator Registered Nurse in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2021.

Licensed in
MN
In the registry since
2021
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1315 E 24th St Ste 1
Minneapolis, MN 55404-3959
Phone: (612) 721-9872
Fax: (612) 721-2904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diabetes Educator Registered Nurse (primary) Taxonomy 163WD0400X · Licence 2459891 (MN)

Record details

NPI number1073184099
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , CDCES
Sole proprietorNo
NPI enumeratedJuly 9, 2021
Last updated in NPPESJuly 9, 2021
Certification dateJuly 9, 2021
Mailing address1315 E 24th St Ste 1, Minneapolis, MN 55404-3959

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