MINYELLE JACKSON LPN
NPI 1215373980
Licensed Practical Nurse in Brentwood, NY

Q: What is Minyelle Jackson's NPI number?

The NPI number for Minyelle Jackson is 1215373980. It was assigned to this individual provider in the NPPES registry on May 21, 2013.

Q: What is Minyelle 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 Minyelle Jackson was last updated on December 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 May 21, 2013

801 CROOKED HILL RD # 325, BRENTWOOD, NY 11717(631) 671-5798 Get Directions Write a Review

NPPES record last updated: December 2, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Minyelle Jackson Lpn NPPES

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

MINYELLE JACKSON LPN (NPI 1215373980) is an individual licensed practical nurse in Brentwood, New York, licensed in New York (287782) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1215373980

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMINYELLE JACKSONCredential: LPN

Location Address801 CROOKED HILL RD # 325Brentwood, NY 11717-1045

Mailing Address801 Crooked Hill Rd # 325Brentwood, NY 11717-1045 · (631) 671-5798

Phone(631) 671-5798

Sole ProprietorYes

Enumeration DateMay 21, 2013

Last NPPES UpdateDecember 2, 2013

✔ NPI 1215373980 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 · 287782

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.

801 CROOKED HILL RD # 325, Brentwood, NY 11717

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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 Minyelle Jackson's NPI number?

The NPI number for Minyelle Jackson is 1215373980. It was assigned to this individual provider in the NPPES registry on May 21, 2013.

Where is Minyelle Jackson located?

Minyelle Jackson practices at 801 Crooked Hill Rd # 325, Brentwood, NY 11717. The listed phone number is (631) 671-5798.

What is Minyelle 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 Minyelle Jackson was last updated on December 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.