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

Roger Jackson

Individual provider Case Management Registered Nurse · NPI 1720653629

Roger Jackson is a Case Management Registered Nurse in LA Follette, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2021
Specialties on file
6

Practice location Address checks out

171 Noah Ln
LA Follette, TN 37766-5575
Phone: (423) 912-5097
Show map & directions

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

Specialties & licences

Home Health Registered Nurse (primary) Taxonomy 163WH0200X · Licence 102279 (TN)
Case Management Registered Nurse Taxonomy 163WC0400X · Licence 102279 (TN)
Community Health Registered Nurse Taxonomy 163WC1500X · Licence 102279 (TN)
Hospice Registered Nurse Taxonomy 163WH1000X · Licence 102279 (TN)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence 102279 (TN)
Nutrition Support Registered Nurse Taxonomy 163WN1003X · Licence 102279 (TN)

Record details

NPI number1720653629
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 24, 2021
Last updated in NPPESMay 24, 2021
Certification dateMay 24, 2021
Mailing address171 Noah Ln, La Follette, TN 37766-5575