Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

RASHIDAH JACKSON LPN
NPI 1073421376
Licensed Practical Nurse in Philadelphia, PA

Active since August 29, 2026
30 S 15TH ST STE 1550, PHILADELPHIA, PA 19102(215) 933-2562 Get Directions Write a Review

NPPES record added: August 29, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Rashidah Jackson Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RASHIDAH JACKSON LPN (NPI 1073421376) is an individual licensed practical nurse in Philadelphia, Pennsylvania, licensed in Pennsylvania (PN287628) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1073421376
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameRASHIDAH JACKSONCredential: LPN
Location Address30 S 15TH ST STE 1550Philadelphia, PA 19102-4806
Mailing Address388 Canterbury RdBushkill, PA 18324-9055 · (215) 933-2562
Sole ProprietorNo
Enumeration DateAugust 29, 2026
NPPES CertifiedAugust 28, 2026
NPI 1073421376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in PA · PN287628
Definition
A licensed practical nurse 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.
30 S 15TH ST STE 1550, Philadelphia, PA 19102

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Technician, Pathology (Phlebotomy)
30 S 15TH ST STE 1550
PHILADELPHIA, PA 19102
Counselor
30 S 15TH ST STE 1550
PHILADELPHIA, PA 19102
Counselor (Professional)
30 S 15TH ST STE 1550
PHILADELPHIA, PA 19102
Clinic/Center (Mental Health (Including Community Mental Health Center))
30 S 15TH ST STE 1550
PHILADELPHIA, PA 19102
Technician, Pathology (Phlebotomy)
30 S 15TH ST STE 1550
PHILADELPHIA, PA 19102
Doula
30 S 15TH ST STE 1550
PHILADELPHIA, PA 19102
Counselor (Professional)
30 S 15TH ST STE 1550
PHILADELPHIA, PA 19102
Psychologist (Clinical)
30 S 15TH ST STE 1550, PMB 704308
PHILADELPHIA, PA 19102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rashidah Jackson's NPI number?

The NPI number for Rashidah Jackson is 1073421376. It was assigned to this individual provider in the NPPES registry on August 29, 2026.

Where is Rashidah Jackson located?

Rashidah Jackson practices at 30 S 15th St Ste 1550, Philadelphia, PA 19102. The listed phone number is (215) 933-2562.

What is Rashidah Jackson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Rashidah Jackson was last updated on August 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.