ANGELA JACKSON
NPI 1366630469
Licensed Practical Nurse in Plymouth Meeting, PA

Active since October 15, 2007
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462(610) 834-1122(610) 825-1604 Get Directions Write a Review

NPPES record last updated: October 15, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angela Jackson NPPES

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

ANGELA JACKSON (NPI 1366630469) is an individual licensed practical nurse in Plymouth Meeting, Pennsylvania, licensed in Pennsylvania (PN266846) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1366630469
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameANGELA JACKSON
Location Address2250 HICKORY RD, SUITE 240Plymouth Meeting, PA 19462-1047
Mailing Address2440 Hartel Ave, Apt BPhiladelphia, PA 19152-3804 · (215) 275-0703
Fax(610) 825-1604
Sole ProprietorNo
Enumeration DateOctober 15, 2007
NPI 1366630469 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 PA · PN266846
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.
2250 HICKORY RD, Plymouth Meeting, PA 19462

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.

Licensed Practical Nurse
2250 HICKORY RD, SUITE 240
PLYMOUTH MEETING, PA 19462
Licensed Practical Nurse
2250 HICKORY RD, SUITE 240
PLYMOUTH MEETING, PA 19462
Licensed Practical Nurse
2250 HICKORY RD, SUITE 240
PLYMOUTH MEETING, PA 19462
Registered Nurse
2250 HICKORY RD, SUITE 240
PLYMOUTH MEETING, PA 19462
Nurse's Aide
2250 HICKORY RD, SUITE 240
PLYMOUTH MEETING, PA 19462
Occupational Therapy Assistant
2250 HICKORY RD
PLYMOUTH MEETING, PA 19462
Physical Therapy Assistant
2250 HICKORY RD
PLYMOUTH MEETING, PA 19462
Licensed Practical Nurse
2250 HICKORY RD, SUITE 240
PLYMOUTH MEETING, PA 19462

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 Angela Jackson's NPI number?

The NPI number for Angela Jackson is 1366630469. It was assigned to this individual provider in the NPPES registry on October 15, 2007.

Where is Angela Jackson located?

Angela Jackson practices at 2250 Hickory Rd Suite 240, Plymouth Meeting, PA 19462. The listed phone number is (610) 834-1122.

What is Angela 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 Angela Jackson was last updated on October 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.