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PHARRODAH JACKSON LPN
NPI 1154201663
Licensed Practical Nurse in Annandale, VA

Active since September 04, 2025
7008 LITTLE RIVER TPKE STE G, ANNANDALE, VA 22003(833) 357-0704 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pharrodah Jackson Lpn NPPES

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

PHARRODAH JACKSON LPN (NPI 1154201663) is an individual licensed practical nurse in Annandale, Virginia, licensed in Virginia (0002098056) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1154201663
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NamePHARRODAH JACKSONCredential: LPN
Location Address7008 LITTLE RIVER TPKE STE GAnnandale, VA 22003-3234
Mailing Address5113 Southern Ave Apt 101Capitol Heights, MD 20743-5170 · (240) 714-8758
Phone(833) 357-0704
Sole ProprietorNo
Enumeration DateSeptember 4, 2025
NPPES CertifiedSeptember 4, 2025
✔ NPI 1154201663 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 VA · 0002098056
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.
7008 LITTLE RIVER TPKE STE G, Annandale, VA 22003
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Other Providers at the Same Location NPPES 10

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

KARA MICHELLE HOLLAND WALKER
Counselor (Addiction (Substance Use Disorder))
7008 LITTLE RIVER TPKE STE G
ANNANDALE, VA 22003
Fairfax County (703) 740-3700
SELLATI & CO., INC.
Clinic/Center (Methadone)
7008 LITTLE RIVER TPKE STE G
ANNANDALE, VA 22003
Fairfax County (703) 333-3113
TSIGEREDA BELAYNEH
Registered Nurse (Addiction (Substance Use Disorder))
7008 LITTLE RIVER TPKE STE G
ANNANDALE, VA 22003
Fairfax County (703) 333-3113
SELLATI & CO., INC.
Community/Behavioral Health
7008 LITTLE RIVER TPKE STE G
ANNANDALE, VA 22003
Fairfax County (703) 333-3113
ABRAHAM GEORGE WASHINGTON COUNSELOR
Counselor (Addiction (Substance Use Disorder))
7008 LITTLE RIVER TPKE STE G
ANNANDALE, VA 22003
Fairfax County (833) 992-0637
DORIS MUGULA
Licensed Practical Nurse
7008 LITTLE RIVER TPKE STE G
ANNANDALE, VA 22003
Fairfax County (703) 333-3113
DAWN S JONES 101YA0400X
Counselor (Addiction (Substance Use Disorder))
7008 LITTLE RIVER TPKE STE G
ANNANDALE, VA 22003
Fairfax County (703) 740-3700
EULANDA MARIE WELLONS
Licensed Practical Nurse
7008 LITTLE RIVER TPKE STE G
ANNANDALE, VA 22003
Fairfax County (301) 444-5001

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 Pharrodah Jackson's NPI number?

The NPI number for Pharrodah Jackson is 1154201663. It was assigned to this individual provider in the NPPES registry on September 4, 2025.

Where is Pharrodah Jackson located?

Pharrodah Jackson practices at 7008 Little River Tpke Ste G, Annandale, VA 22003. The listed phone number is (833) 357-0704.

What is Pharrodah 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 Pharrodah Jackson was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.