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ARIELLE LASHAY JACKSON
NPI 1093272502
Student in an Organized Health Care Education/Training Program in Watertown, NY

Active since February 21, 2019
167 POLK ST STE 300, WATERTOWN, NY 13601(315) 782-7445(315) 779-1184 Get Directions Write a Review

NPPES record last updated: February 21, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Arielle Lashay Jackson NPPES

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

ARIELLE LASHAY JACKSON (NPI 1093272502) is an individual student in an organized health care education/training program in Watertown, New York and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1093272502
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameARIELLE LASHAY JACKSON
Location Address167 POLK ST STE 300Watertown, NY 13601-2770
Mailing AddressPo Box 6550Watertown, NY 13601-6550 · (315) 782-7445 · Fax (315) 779-1184
Phone(315) 782-7445
Fax(315) 779-1184
Sole ProprietorNo
Enumeration DateFebruary 21, 2019
✔ NPI 1093272502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
167 POLK ST STE 300, Watertown, NY 13601
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Other Names 1

Former Name (1)Arielle Lashay Wilson

Other Identifiers 1

Medicaid3372621NY

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.

PENNY MOSHER MSW INTERN
Student in an Organized Health Care Education/Training Program
167 POLK ST STE 300
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
CHELSEA FELIX RN
Registered Nurse (Psychiatric/Mental Health)
167 POLK ST STE 300
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
CAROLYN C JONES RN
Registered Nurse (Psychiatric/Mental Health)
167 POLK ST STE 300
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
MICHELLE D FELTON
Registered Nurse
167 POLK ST STE 300
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
MIRANDA DUNN
Social Worker
167 POLK ST STE 300
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
KRAIG STEELE
Social Worker
167 POLK ST STE 300
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
ALISA SHEREA HOPKINS RN
Registered Nurse
167 POLK ST STE 300
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
ANDREA E AMYOT
Counselor (Mental Health)
167 POLK ST STE 300
WATERTOWN, NY 13601
Jefferson County (315) 782-7445

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 Arielle Jackson's NPI number?

The NPI number for Arielle Jackson is 1093272502. It was assigned to this individual provider in the NPPES registry on February 21, 2019. The provider is also known as Arielle Lashay Wilson.

Where is Arielle Jackson located?

Arielle Jackson practices at 167 Polk St Ste 300, Watertown, NY 13601. The listed phone number is (315) 782-7445.

What is Arielle Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Arielle Jackson was last updated on February 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.