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MS. JACKIE OBIANYOR L.P.N.
NPI 1205011061
Licensed Practical Nurse in Hempstead, NY

Active since December 28, 2007
485 FRONT ST, #107, HEMPSTEAD, NY 11550(516) 214-4461 Get Directions Write a Review

NPPES record last updated: December 28, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ms. Jackie Obianyor L.p.n. NPPES

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

MS. JACKIE OBIANYOR L.P.N. (NPI 1205011061) is an individual licensed practical nurse in Hempstead, New York, licensed in New York (246360-1) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1205011061
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. JACKIE OBIANYORCredential: L.P.N.
Location Address485 FRONT ST, #107Hempstead, NY 11550-4416
Mailing Address485 Front St, #107Hempstead, NY 11550-4416 · (516) 214-4461
Phone(516) 214-4461
Sole ProprietorYes
Enumeration DateDecember 28, 2007
✔ NPI 1205011061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 246360-1
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.
Also ListedLicensed Vocational NurseTaxonomy 164X00000X · License 246360-1 (NY)
485 FRONT ST, Hempstead, NY 11550
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Other Identifiers 1

Medicaid02151577NY

Other Providers at the Same Location NPPES

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

PATIENCE KALE
Licensed Practical Nurse
485 FRONT ST
HEMPSTEAD, NY 11550
Nassau County (516) 312-8967

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 Jackie Obianyor's NPI number?

The NPI number for Jackie Obianyor is 1205011061. It was assigned to this individual provider in the NPPES registry on December 28, 2007.

Where is Jackie Obianyor located?

Jackie Obianyor practices at 485 Front St #107, Hempstead, NY 11550. The listed phone number is (516) 214-4461.

What is Jackie Obianyor'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 Jackie Obianyor was last updated on December 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.