DEVINN JACKSON LPN
NPI 1164146718
Licensed Practical Nurse in New Martinsville, WV

Q: What is Devinn Jackson's NPI number?

The NPI number for Devinn Jackson is 1164146718. It was assigned to this individual provider in the NPPES registry on September 28, 2022.

Q: What is Devinn Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Devinn Jackson was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 28, 2022

411 N STATE ROUTE 2, NEW MARTINSVILLE, WV 26155(304) 455-5515 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Devinn Jackson Lpn NPPES

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

DEVINN JACKSON LPN (NPI 1164146718) is an individual licensed practical nurse in New Martinsville, West Virginia, licensed in West Virginia (34133) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1164146718

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameDEVINN JACKSONCredential: LPN

Location Address411 N STATE ROUTE 2New Martinsville, WV 26155-2711

Mailing Address411 N State Route 2New Martinsville, WV 26155-2711

Phone(304) 455-5515

Sole ProprietorNo

Enumeration DateSeptember 28, 2022

NPPES CertifiedSeptember 28, 2022

✔ NPI 1164146718 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 WV · 34133

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.

411 N STATE ROUTE 2, New Martinsville, WV 26155

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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.

CAROLEE CECIL

Registered Nurse (Administrator)