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CAROLYN JACKSON LPN
NPI 1285972976
Licensed Practical Nurse in Bronx, NY

Active since January 30, 2013
2054 TILLOTSON AVE, BRONX, NY 10475(718) 671-2100 Get Directions Write a Review

NPPES record last updated: January 30, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carolyn Jackson Lpn NPPES

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

CAROLYN JACKSON LPN (NPI 1285972976) is an individual licensed practical nurse in Bronx, New York, licensed in New York (304758) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1285972976
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCAROLYN JACKSONCredential: LPN
Location Address2054 TILLOTSON AVEBronx, NY 10475-1560
Mailing Address2054 Tillotson AveBronx, NY 10475-1560 · (718) 671-2100
Phone(718) 671-2100
Sole ProprietorYes
Enumeration DateJanuary 30, 2013
✔ NPI 1285972976 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 · 304758
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.
2054 TILLOTSON AVE, Bronx, NY 10475
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Other Providers at the Same Location NPPES 20

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

MARIETTA OMO-IKIRODAH LPN
Licensed Practical Nurse
2054 TILLOTSON AVE
BRONX, NY 10475
Bronx County (718) 671-2100
HOPE IVOKO RN
Registered Nurse
2054 TILLOTSON AVE
BRONX, NY 10475
Bronx County (718) 671-2100
TAMEKA BENJAMIN LPN
Licensed Practical Nurse
2054 TILLOTSON AVE
BRONX, NY 10475
Bronx County (718) 671-2100
KIMBERLY PRESTON LPN
Licensed Practical Nurse
2054 TILLOTSON AVE
BRONX, NY 10475
Bronx County (718) 671-2100
DEINMA IBULUBO RN, FNP-BC
Nurse Practitioner (Family)
2054 TILLOTSON AVE
BRONX, NY 10475
Bronx County (718) 671-2100
EVELYN GOMEZ RN
Registered Nurse
2054 TILLOTSON AVE
BRONX, NY 10475
Bronx County (718) 671-2100
DEVITA BASDEO RN
Registered Nurse
2054 TILLOTSON AVE
BRONX, NY 10475
Bronx County (718) 671-2100
TAMIEKA BALFOUR RN
Registered Nurse
2054 TILLOTSON AVE
BRONX, NY 10475
Bronx County (718) 671-2100

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 Carolyn Jackson's NPI number?

The NPI number for Carolyn Jackson is 1285972976. It was assigned to this individual provider in the NPPES registry on January 30, 2013.

Where is Carolyn Jackson located?

Carolyn Jackson practices at 2054 Tillotson Ave, Bronx, NY 10475. The listed phone number is (718) 671-2100.

What is Carolyn 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 Carolyn Jackson was last updated on January 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.