MEDICARE: CHENELL JACKSON LPN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	PN154488-M-IV	OH

General Provider Information

NPI Number	:	1306253505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHENELL JACKSON LPN

Provider Business Mailing Address
First Line	:	1062 LINN ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45203-1323
Country	:	US
Telephone Number	:	513-720-9481
Fax Number	:

Provider Business Practice Location Address
First Line	:	1062 LINN ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45203-1323
Country	:	US
Telephone Number	:	513-720-9481
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2014
Last Update Date	:	01/28/2015

Similar Medicare Providers

1053258798 — JOSEPH PAUL TURNER
Practice Location Address:

906 MAIN ST APT 203
CINCINNATI, OH
45202-1323

Practice Phone: 513-312-9179
Practice Fax:

1306133707 — DR. DAWN LOUISE BROYLES DDS
Practice Location Address:

1323 MYRTLE AVE
CINCINNATI, OH
45206-1708

Practice Phone: 513-541-5599
Practice Fax: 513-541-8956

1619547676 — TOKAYUS TRAMAINE HUNTER
Practice Location Address:

1323 MADELEINE CIR
CINCINNATI, OH
45231-4524

Practice Phone: 513-596-2735
Practice Fax:

1104634351 — MWAMBA ILUNGA
Practice Location Address:

1323 BEECHMEADOW LN
CINCINNATI, OH
45238-3857

Practice Phone: 859-878-7917
Practice Fax:

1154268530 — QUEEN CITY COMPLIANCE GROUP
Practice Location Address:

516 LINN ST STE 517
CINCINNATI, OH
45203-1743

Practice Phone: 513-305-9463
Practice Fax:

1588506836 — ARSLAN AHMED
Practice Location Address:

MERCY HEALTH ANDERSON HOSPITAL FAMILY AND COMMUNITY ME , 800 FIVE MILE RD SUITE #100
CINCINNATI, OH
45203

Practice Phone: 513-233-6980
Practice Fax:

Directions to “ CHENELL JACKSON LPN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.