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

Paulette R. X Jackson, REGISTEREDNURSE

Individual provider Registered Nurse · NPI 1326742008

Paulette R. X Jackson, REGISTEREDNURSE is a Registered Nurse in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2023

Practice location Address checks out

741 E 104th St
Chicago, IL 60628-3018
Phone: (773) 750-2173
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 041.301677 (IL)

Record details

NPI number1326742008
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDNURSE
Sole proprietorYes
NPI enumeratedMarch 28, 2023
Last updated in NPPESMarch 28, 2023
Certification dateMarch 28, 2023

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