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

Laquanta Jackson

Individual provider Registered Nurse · NPI 1194372953

Laquanta Jackson is a Registered Nurse in Olympia Fields, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2019

Practice location Address checks out

2430 Athens Rd
Olympia Fields, IL 60461-1954
Phone: (708) 790-0366
Fax: (708) 844-0264
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 041317085 (IL)

Record details

NPI number1194372953
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 26, 2019
Last updated in NPPESAugust 26, 2019

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