MELISSA RAE JACKSON
NPI 1578227864
Student in an Organized Health Care Education/Training Program in Buffalo, NY

Active since October 24, 2021
2157 MAIN ST, BUFFALO, NY 14214(716) 862-1840 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 23, 2023, Oct 24, 2021 (2 updates tracked since 2021).

About Melissa Rae Jackson NPPES

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

MELISSA RAE JACKSON (NPI 1578227864) is an individual student in an organized health care education/training program in Buffalo, New York and active in the NPI registry since October 2021. She maintains a secondary practice location in Tulsa.

NPPES Registry Identity

NPI1578227864
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMELISSA RAE JACKSON
Location Address2157 MAIN STBuffalo, NY 14214-2692
Mailing Address2157 Main StBuffalo, NY 14214-2692 · (716) 862-1840
Sole ProprietorNo
Enumeration DateOctober 24, 2021
Last NPPES UpdateMarch 23, 20232 updates tracked since enumeration
NPPES CertifiedMarch 23, 2023
NPI 1578227864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2157 MAIN ST, Buffalo, NY 14214

Secondary Practice Location 1

Location 11111 W 17th StTulsa, OK 74107-1886 · Phone (301) 518-3917

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
2157 MAIN ST
BUFFALO, NY 14214
Emergency Medicine
2157 MAIN ST
BUFFALO, NY 14214
Student in an Organized Health Care Education/Training Program
2157 MAIN ST
BUFFALO, NY 14214
Nurse Practitioner
2157 MAIN ST
BUFFALO, NY 14214
Nurse Anesthetist, Certified Registered
2157 MAIN ST
BUFFALO, NY 14214
Pediatrics (Neonatal-Perinatal Medicine)
2157 MAIN ST
BUFFALO, NY 14214
Nurse Anesthetist, Certified Registered
2157 MAIN ST
BUFFALO, NY 14214
Skilled Nursing Facility
2157 MAIN ST
BUFFALO, NY 14214

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 Melissa Jackson's NPI number?

The NPI number for Melissa Jackson is 1578227864. It was assigned to this individual provider in the NPPES registry on October 24, 2021.

Where is Melissa Jackson located?

Melissa Jackson practices at 2157 Main St, Buffalo, NY 14214. The listed phone number is (716) 862-1840.

What is Melissa Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Melissa Jackson was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.