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

Q: What is Stephanie Jackson's NPI number?

The NPI number for Stephanie Jackson is 1215716055. It was assigned to this individual provider in the NPPES registry on September 21, 2023.

Q: What is Stephanie 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 Stephanie Jackson was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 September 21, 2023

59 MILLER AVE APT 1, ALBANY, NY 12203(518) 815-8792 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Jackson's NPI number?

The NPI number for Stephanie Jackson is 1215716055. It was assigned to this individual provider in the NPPES registry on September 21, 2023.

Where is Stephanie Jackson located?

Stephanie Jackson practices at 59 Miller Ave Apt 1, Albany, NY 12203. The listed phone number is (518) 815-8792.

What is Stephanie 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 Stephanie Jackson was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.