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DESIREE JACKSON
NPI 1679009534
Licensed Practical Nurse in Manchester, NH

Active since May 11, 2017
3000 GOFFS FALLS RD, STE 101, MANCHESTER, NH 03103(800) 995-2673 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Desiree Jackson NPPES

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

DESIREE JACKSON (NPI 1679009534) is an individual licensed practical nurse in Manchester, New Hampshire, licensed in Tennessee (53403) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1679009534
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameDESIREE JACKSON
Location Address3000 GOFFS FALLS RD, STE 101Manchester, NH 03103-6109
Mailing Address3000 Goffs Falls Rd, Ste 101Manchester, NH 03103-6109 · (800) 995-2673
Phone(800) 995-2673
Sole ProprietorYes
Enumeration DateMay 11, 2017
✔ NPI 1679009534 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 TN · 53403
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.
3000 GOFFS FALLS RD, Manchester, NH 03103
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Other Providers at the Same Location NPPES 6

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

KEAIRA GUNN
Occupational Therapist
3000 GOFFS FALLS RD
MANCHESTER, NH 03103
Hillsborough County (800) 995-2673
DEBBIE STULTS
Licensed Practical Nurse
3000 GOFFS FALLS RD, STE 101
MANCHESTER, NH 03103
Hillsborough County (800) 995-2673
TIFFANY SPIES
Occupational Therapist
3000 GOFFS FALLS RD
MANCHESTER, NH 03103
Hillsborough County (800) 995-2673
ROBIN WALKER
Licensed Practical Nurse
3000 GOFFS FALLS RD
MANCHESTER, NH 03103
Hillsborough County (800) 995-2673
ROBERT BEST
Physical Therapist
3000 GOFFS FALLS RD
MANCHESTER, NH 03103
Hillsborough County (800) 995-2673
PREMISE HEALTH OF CONNECTICUT MEDICAL, P.C.
Clinic/Center (Multi-Specialty)
3000 GOFFS FALLS RD
MANCHESTER, NH 03103
Hillsborough County (603) 506-0203

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 Desiree Jackson's NPI number?

The NPI number for Desiree Jackson is 1679009534. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Desiree Jackson located?

Desiree Jackson practices at 3000 Goffs Falls Rd Ste 101, Manchester, NH 03103. The listed phone number is (800) 995-2673.

What is Desiree 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 Desiree Jackson was last updated on May 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.