LILLIE PEARL JACKSON LPN
NPI 1174039945
Licensed Practical Nurse in Riviera Beach, FL

Q: What is Lillie Jackson's NPI number?

The NPI number for Lillie Jackson is 1174039945. It was assigned to this individual provider in the NPPES registry on December 15, 2017.

Q: What is Lillie 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 Lillie Jackson was last updated on December 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 December 15, 2017

1611 W 35TH ST, RIVIERA BEACH, FL 33404(561) 542-9923 Get Directions Write a Review

NPPES record last updated: December 15, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lillie Pearl Jackson Lpn NPPES

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

LILLIE PEARL JACKSON LPN (NPI 1174039945) is an individual licensed practical nurse in Riviera Beach, Florida, licensed in Florida (PN5175495) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1174039945

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameLILLIE PEARL JACKSONCredential: LPN

Location Address1611 W 35TH STRiviera Beach, FL 33404-2925

Mailing Address1611 W 35th StRiviera Beach, FL 33404-2925 · (561) 542-9923

Phone(561) 542-9923

Sole ProprietorYes

Enumeration DateDecember 15, 2017

✔ NPI 1174039945 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 FL · PN5175495

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.

1611 W 35TH ST, Riviera Beach, FL 33404

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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 Lillie Jackson's NPI number?

The NPI number for Lillie Jackson is 1174039945. It was assigned to this individual provider in the NPPES registry on December 15, 2017.

Where is Lillie Jackson located?

Lillie Jackson practices at 1611 W 35th St, Riviera Beach, FL 33404. The listed phone number is (561) 542-9923.

What is Lillie 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 Lillie Jackson was last updated on December 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.