MRS. JESSICA BERDETTE JACKSON LPN
NPI 1205335916
Licensed Practical Nurse in Candor, NY

Q: What is Jessica Jackson's NPI number?

The NPI number for Jessica Jackson is 1205335916. It was assigned to this individual provider in the NPPES registry on February 8, 2018. The provider is also known as Ms. Jessica Berdette Sullivan.

Q: What is Jessica 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 Jessica Jackson was last updated on February 8, 2018. 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 February 08, 2018

376 OWEGO RD, CANDOR, NY 13743(607) 372-6591 Get Directions Write a Review

NPPES record last updated: February 8, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Mrs. Jessica Berdette Jackson Lpn NPPES

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

MRS. JESSICA BERDETTE JACKSON LPN (NPI 1205335916) is an individual licensed practical nurse in Candor, New York, licensed in New York (298757) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1205335916

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMRS. JESSICA BERDETTE JACKSONCredential: LPN

Location Address376 OWEGO RDCandor, NY 13743-1645

Mailing Address376 Owego RdCandor, NY 13743-1645 · (607) 372-6591

Phone(607) 372-6591

Sole ProprietorYes

Enumeration DateFebruary 8, 2018

✔ NPI 1205335916 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 NY · 298757

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.

376 OWEGO RD, Candor, NY 13743

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Other Names 1

Former Name (1)Ms. Jessica Berdette Sullivan

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 Jessica Jackson's NPI number?

The NPI number for Jessica Jackson is 1205335916. It was assigned to this individual provider in the NPPES registry on February 8, 2018. The provider is also known as Ms. Jessica Berdette Sullivan.

Where is Jessica Jackson located?

Jessica Jackson practices at 376 Owego Rd, Candor, NY 13743. The listed phone number is (607) 372-6591.

What is Jessica 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 Jessica Jackson was last updated on February 8, 2018. 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.