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

Melissa Jackson

Individual provider Licensed Practical Nurse · NPI 1063289148

Melissa Jackson is a Licensed Practical Nurse in Columbus, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2023

Practice location Address checks out

1515 E Broad St
Columbus, OH 43205-1550
Phone: (614) 437-9797
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 LPN.149975.MEDS-IV (OH)

Record details

NPI number1063289148
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 7, 2023
Last updated in NPPESDecember 7, 2023
Certification dateDecember 7, 2023
Mailing address1515 E Broad St, Columbus, OH 43205-1550

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