Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912345869 Individual Practitioner Female Practitioner

Atwalaun Chantelle Jackson , LPN

Licensed Practical Nurse • Memphis, TN

Professional Overview & Biography Verified Profile Summary

Atwalaun Jackson, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Memphis, TN. Practice services are available at 1734 MADISON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1734 Madison Ave

Memphis, TN 381046414

Telephone 9017229420
Associated Practice Facility / Clinic
🏢 Vcphcs Viii, Llc Facility NPI 1477999480

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Memphis, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.0 Yrs
Regional Practice Density
57 Specialists

Practicing in Memphis, TN (1262 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License TN 0000048918

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
NPI 1134567167
Bernetta St. Omer , BS

Counselor - Addiction (Substance Use Disorder)

NPI 1275986770

Bachelor of Science

Dana Agranov

Counselor - Addiction (Substance Use Disorder)

NPI 1316390701
Tiffanie Robertson

Counselor - Addiction (Substance Use Disorder)

NPI 1346770070
Summer Thompson , MAMFT

Counselor - Addiction (Substance Use Disorder)

NPI 1497299986
Charlotte Brown , LPN

Licensed Practical Nurse

NPI 1639517634

Licensed Practical Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 12, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 12, 2013

Registered at 1734 MADISON AVE, MEMPHIS, TN 381046414 (Tel: 9017229420)

📍
Updated Business Mailing Address June 12, 2013

Registered at 1734 MADISON AVE, MEMPHIS, TN 381046414 (Tel: 9017229420)

👤
Provider Name / Credentials Updated June 12, 2013

Recorded as ATWALAUN JACKSON, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2013

Licensed Practical Nurse (License #0000048918 in TN)

🟢
Initial NPI Registration & Enumeration June 12, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912345869
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2013
Last Update: June 12, 2013
Sole Proprietor: No

Mailing Address

1734 Madison Ave

Memphis, TN 381046414

Phone: 9017229420

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.