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MS. PETRINA M JACKSON LPN
NPI 1386881126
Licensed Practical Nurse in Yonkers, NY

Active since January 15, 2009
201 N BROADWAY APT 3N, YONKERS, NY 10701(917) 828-2233(914) 751-7562 Get Directions Write a Review

NPPES record last updated: January 15, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Petrina M Jackson Lpn NPPES

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

MS. PETRINA M JACKSON LPN (NPI 1386881126) is an individual licensed practical nurse in Yonkers, New York, licensed in New York (292190) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1386881126
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. PETRINA M JACKSONCredential: LPN
Location Address201 N BROADWAY APT 3NYonkers, NY 10701-2608
Mailing Address201 N Broadway Apt 3nYonkers, NY 10701-2608 · (917) 828-2233 · Fax (914) 751-7562
Phone(917) 828-2233
Fax(914) 751-7562
Sole ProprietorYes
Enumeration DateJanuary 15, 2009
✔ NPI 1386881126 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 · 292190
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.
201 N BROADWAY APT 3N, Yonkers, NY 10701
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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 Petrina Jackson's NPI number?

The NPI number for Petrina Jackson is 1386881126. It was assigned to this individual provider in the NPPES registry on January 15, 2009.

Where is Petrina Jackson located?

Petrina Jackson practices at 201 N Broadway Apt 3N, Yonkers, NY 10701. The listed phone number is (917) 828-2233.

What is Petrina 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 Petrina Jackson was last updated on January 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.