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

Octavia Laniece Jackson, CCMA

Individual provider Nurse's Aide · NPI 1457278749

Octavia Laniece Jackson, CCMA is a Nurse's Aide in Knoxville, Tennessee. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

2018 Western Ave
Knoxville, TN 37921-5718
Phone: (865) 544-0406
Fax: (865) 544-0480
Show map & directions

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

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X

Record details

NPI number1457278749
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCMA
Sole proprietorNo
NPI enumeratedJune 30, 2026
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

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