KELLEY R JACKSON LPN
NPI 1538586755
Licensed Practical Nurse in Buffalo, NY

Q: What is Kelley Jackson's NPI number?

The NPI number for Kelley Jackson is 1538586755. It was assigned to this individual provider in the NPPES registry on March 26, 2014.

Q: What is Kelley Jackson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelley Jackson was last updated on March 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since March 26, 2014

32 ERICSON AVE, BUFFALO, NY 14215(480) 233-0850 Get Directions Write a Review

NPPES record last updated: March 26, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kelley R Jackson Lpn NPPES

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

KELLEY R JACKSON LPN (NPI 1538586755) is an individual licensed practical nurse in Buffalo, New York, licensed in New York (246502-1) and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1538586755

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameKELLEY R JACKSONCredential: LPN

Location Address32 ERICSON AVEBuffalo, NY 14215-3808

Mailing Address32 Ericson AveBuffalo, NY 14215-3808 · (480) 233-0850

Phone(480) 233-0850

Sole ProprietorYes

Enumeration DateMarch 26, 2014

✔ NPI 1538586755 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 · 246502-1

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.

32 ERICSON AVE, Buffalo, NY 14215

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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 Kelley Jackson's NPI number?

The NPI number for Kelley Jackson is 1538586755. It was assigned to this individual provider in the NPPES registry on March 26, 2014.

Where is Kelley Jackson located?

Kelley Jackson practices at 32 Ericson Ave, Buffalo, NY 14215. The listed phone number is (480) 233-0850.

What is Kelley 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 Kelley Jackson was last updated on March 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.