STEPHANIE JACKSON LPN
NPI 1548601511
Licensed Practical Nurse in Medford, NY

Q: What is Stephanie Jackson's NPI number?

The NPI number for Stephanie Jackson is 1548601511. It was assigned to this individual provider in the NPPES registry on July 8, 2013.

Q: What is Stephanie 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 Stephanie Jackson was last updated on July 8, 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.

Active since July 08, 2013

39 W. YAPHANK RD., MEDFORD, NY 11763(631) 320-3077 Get Directions Write a Review

NPPES record last updated: July 8, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Stephanie Jackson Lpn NPPES

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

STEPHANIE JACKSON LPN (NPI 1548601511) is an individual licensed practical nurse in Medford, New York, licensed in New York (264400) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1548601511

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameSTEPHANIE JACKSONCredential: LPN

Location Address39 W. YAPHANK RD.Medford, NY 11763

Mailing Address39 W. Yaphank Rd.Medford, NY 11763

Phone(631) 320-3077

Sole ProprietorYes

Enumeration DateJuly 8, 2013

✔ NPI 1548601511 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 · 264400

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.

39 W. YAPHANK RD., Medford, NY 11763

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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 Stephanie Jackson's NPI number?

The NPI number for Stephanie Jackson is 1548601511. It was assigned to this individual provider in the NPPES registry on July 8, 2013.

Where is Stephanie Jackson located?

Stephanie Jackson practices at 39 W. Yaphank Rd., Medford, NY 11763. The listed phone number is (631) 320-3077.

What is Stephanie 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 Stephanie Jackson was last updated on July 8, 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.