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MRS. LORETTA FRANCES JACKSON MSED
NPI 1518229707
Specialist in Bronx, NY

Active since June 13, 2012
100-21G DEKRUIF PLACE, BRONX, NY 10475(917) 504-7948 Get Directions Write a Review

NPPES record last updated: June 13, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Loretta Frances Jackson Msed NPPES

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

MRS. LORETTA FRANCES JACKSON MSED (NPI 1518229707) is an individual specialist in Bronx, New York, licensed in New York (643324051) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1518229707
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMRS. LORETTA FRANCES JACKSONCredential: MSED
Location Address100-21G DEKRUIF PLACEBronx, NY 10475-0240
Mailing AddressPo Box 240Bronx, NY 10475-0240 · (917) 504-7948
Phone(917) 504-7948
Sole ProprietorYes
Enumeration DateJune 13, 2012
✔ NPI 1518229707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 643324051
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
100-21G DEKRUIF PLACE, Bronx, NY 10475
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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 Loretta Jackson's NPI number?

The NPI number for Loretta Jackson is 1518229707. It was assigned to this individual provider in the NPPES registry on June 13, 2012.

Where is Loretta Jackson located?

Loretta Jackson practices at 100-21g Dekruif Place, Bronx, NY 10475. The listed phone number is (917) 504-7948.

What is Loretta Jackson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Loretta Jackson was last updated on June 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.