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STEPHANIE E JACKSON REGISTERED NURSE
NPI 1215738091
Registered Nurse - Home Health in Philadelphia, PA

Active since March 19, 2025
5902 OLD YORK RD, PHILADELPHIA, PA 19141(215) 406-8673 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie E Jackson Registered Nurse NPPES

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

STEPHANIE E JACKSON REGISTERED NURSE (NPI 1215738091) is an individual home health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (RN799102) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1215738091
Entity TypeIndividualFemale
Primary Taxonomy163WH0200X
Provider Legal NameSTEPHANIE E JACKSONCredential: REGISTERED NURSE
Location Address5902 OLD YORK RDPhiladelphia, PA 19141-2342
Mailing Address5902 Old York RdPhiladelphia, PA 19141-2342 · (215) 406-8673
Phone(215) 406-8673
Sole ProprietorNo
Enumeration DateMarch 19, 2025
NPPES CertifiedMarch 19, 2025
✔ NPI 1215738091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Home HealthNursing Service Providers
Taxonomy Code163WH0200X
License✔ Licensed in PA · RN799102
5902 OLD YORK RD, Philadelphia, PA 19141
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Other Providers at the Same Location NPPES 10

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

SHYANN JOHNSON LPN
Licensed Practical Nurse
5902 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 927-3738
LISA BLYDEN RN
Registered Nurse (Home Health)
5902 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 406-8673
FANTA KROMAH ZOKAI LPN
Licensed Practical Nurse
5902 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 930-4500
MARCIA A HAWKINS
Licensed Practical Nurse
5902 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 930-4500
KIWANNA SMITH SCOTT LPN
Licensed Practical Nurse
5902 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 406-8673
SQUEEZREN, LLC
Durable Medical Equipment & Medical Supplies
5902 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 907-9551
MS. BERNADETTE M GAY RN
Registered Nurse (Home Health)
5902 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 927-3738
SIERRA T ORTIZ
Licensed Practical Nurse
5902 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 406-8673

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 1215738091. It was assigned to this individual provider in the NPPES registry on March 19, 2025.

Where is Stephanie Jackson located?

Stephanie Jackson practices at 5902 Old York Rd, Philadelphia, PA 19141. The listed phone number is (215) 406-8673.

What is Stephanie Jackson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Home Health, with taxonomy code 163WH0200X.

When was this NPI record last updated?

The NPPES record for Stephanie Jackson was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.