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MRS. MELANI D JACKSON LPN
NPI 1073750204
Licensed Practical Nurse in Syracuse, NY

Active since January 09, 2009
2423 E GENESEE ST, 2ND FL., SYRACUSE, NY 13210(315) 474-0933 Get Directions Write a Review

NPPES record last updated: January 9, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Melani D Jackson Lpn NPPES

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

MRS. MELANI D JACKSON LPN (NPI 1073750204) is an individual licensed practical nurse in Syracuse, New York, licensed in New York (295456-1) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1073750204
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. MELANI D JACKSONCredential: LPN
Location Address2423 E GENESEE ST, 2ND FL.Syracuse, NY 13210-2223
Mailing Address2423 E Genesee St, 2nd Fl.Syracuse, NY 13210-2223 · (315) 474-0933
Phone(315) 474-0933
Sole ProprietorYes
Enumeration DateJanuary 9, 2009
✔ NPI 1073750204 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 NY · 295456-1
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.
2423 E GENESEE ST, Syracuse, NY 13210
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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 Melani Jackson's NPI number?

The NPI number for Melani Jackson is 1073750204. It was assigned to this individual provider in the NPPES registry on January 9, 2009.

Where is Melani Jackson located?

Melani Jackson practices at 2423 E Genesee St 2nd Fl., Syracuse, NY 13210. The listed phone number is (315) 474-0933.

What is Melani 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 Melani Jackson was last updated on January 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.