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