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ANGELITA JACKSON
NPI 1578078077
Licensed Practical Nurse in Montgomery, NY

Active since December 06, 2017
323 ANGELO DR, MONTGOMERY, NY 12549(914) 980-7802 Get Directions Write a Review

NPPES record last updated: December 6, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angelita Jackson NPPES

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

ANGELITA JACKSON (NPI 1578078077) is an individual licensed practical nurse in Montgomery, New York, licensed in New York (290702) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1578078077
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameANGELITA JACKSON
Location Address323 ANGELO DRMontgomery, NY 12549-1627
Mailing Address323 Angelo DrMontgomery, NY 12549-1627
Phone(914) 980-7802
Sole ProprietorYes
Enumeration DateDecember 6, 2017
✔ NPI 1578078077 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 · 290702
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.
323 ANGELO DR, Montgomery, NY 12549
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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 Angelita Jackson's NPI number?

The NPI number for Angelita Jackson is 1578078077. It was assigned to this individual provider in the NPPES registry on December 6, 2017.

Where is Angelita Jackson located?

Angelita Jackson practices at 323 Angelo Dr, Montgomery, NY 12549. The listed phone number is (914) 980-7802.

What is Angelita 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 Angelita Jackson was last updated on December 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.