STEPHANIE CHANELLE JACKSON LPN - NPI 1215716055 - Licensed Practical Nurse in Albany, NY

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

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About Stephanie Chanelle Jackson Lpn NPPES

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

STEPHANIE CHANELLE JACKSON LPN (NPI 1215716055) is an individual licensed practical nurse in Albany, New York, licensed in New York (345575) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1215716055

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameSTEPHANIE CHANELLE JACKSONCredential: LPN

Location Address59 MILLER AVE APT 1Albany, NY 12203-2940

Mailing Address59 Miller Ave Apt 1Albany, NY 12203-2940 · (518) 815-8792

Phone(518) 815-8792

Sole ProprietorNo

Enumeration DateSeptember 21, 2023

NPPES CertifiedSeptember 21, 2023

✔ NPI 1215716055 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 · 345575

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.

59 MILLER AVE APT 1, Albany, NY 12203

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Frequently Asked Questions

What is Stephanie Jackson's NPI number?

The NPI number assigned to this healthcare provider is 1215716055, enumerated as an "individual" on September 21, 2023.

Where is the provider located?

The provider is located at 59 MILLER AVE APT 1 ALBANY, NY 12203 and the phone number is (518) 815-8792.

What is the provider's specialty?

Licensed Practical Nurse with taxonomy code 164W00000X.