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JACKSON NGANGA
NPI 1083575682
Licensed Practical Nurse in Baltimore, MD

Active since November 21, 2025
516 GLENWOOD AVE, BALTIMORE, MD 21212(410) 323-9811(410) 323-3862 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackson Nganga NPPES

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

JACKSON NGANGA (NPI 1083575682) is an individual licensed practical nurse in Baltimore, Maryland, licensed in Maryland (LP43242) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1083575682
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameJACKSON NGANGA
Location Address516 GLENWOOD AVEBaltimore, MD 21212-4230
Mailing Address8501 Castlemill CirNottingham, MD 21236-2606 · (410) 323-9811 · Fax (443) 552-3232
Phone(410) 323-9811
Fax(410) 323-3862
Sole ProprietorNo
Enumeration DateNovember 21, 2025
NPPES CertifiedNovember 21, 2025
✔ NPI 1083575682 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 MD · LP43242
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.
516 GLENWOOD AVE, Baltimore, MD 21212
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Other Providers at the Same Location NPPES 8

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

GLENWOOD LIFE COUNSELING CENTER, INC.
Community/Behavioral Health
516 GLENWOOD AVE
BALTIMORE, MD 21212
Baltimore City (410) 323-9811
GLENWOOD LIFE-COUNSELING CENTER INC
Clinic/Center (Methadone)
516 GLENWOOD AVE
BALTIMORE, MD 21212
Baltimore City (410) 323-9811
GLENWOOD LIFE COUNSELING CENTER
Social Worker (Clinical)
516 GLENWOOD AVE
BALTIMORE, MD 21212
Baltimore City (410) 323-9811
MS. LILLIAN MARIE DONNARD MSW, LCSW-C
Social Worker (Clinical)
516 GLENWOOD AVE
BALTIMORE, MD 21212
Baltimore City (410) 323-9811
GLENWOOD LIFE-COUNSELING CENTER INC.
Family Medicine
516 GLENWOOD AVE
BALTIMORE, MD 21212
Baltimore City (410) 323-9811
CHRISTOPHER PELFREY
Social Worker
516 GLENWOOD AVE
BALTIMORE, MD 21212
Baltimore City (410) 323-9811
MS. ROSETTA V. JOHNSON LGSW
Social Worker (Clinical)
516 GLENWOOD AVE
BALTIMORE, MD 21212
Baltimore City (410) 323-9811
TERRENCE THOMAS FITZGERALD M.D.
Internal Medicine (Addiction Medicine)
516 GLENWOOD AVE
BALTIMORE, MD 21212
Baltimore City (410) 925-1220

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 Jackson Nganga's NPI number?

The NPI number for Jackson Nganga is 1083575682. It was assigned to this individual provider in the NPPES registry on November 21, 2025.

Where is Jackson Nganga located?

Jackson Nganga practices at 516 Glenwood Ave, Baltimore, MD 21212. The listed phone number is (410) 323-9811.

What is Jackson Nganga'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 Jackson Nganga was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.