JACKIE SMITH SIDES
NPI 1710613757
Licensed Practical Nurse in Monroe, NC

Active since July 30, 2022
1408 E FRANKLIN ST, MONROE, NC 28112(704) 625-2080 Get Directions Write a Review

NPPES record last updated: July 30, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackie Smith Sides NPPES

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

JACKIE SMITH SIDES (NPI 1710613757) is an individual licensed practical nurse in Monroe, North Carolina, licensed in North Carolina (71366) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1710613757
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJACKIE SMITH SIDES
Location Address1408 E FRANKLIN STMonroe, NC 28112-5160
Mailing Address201 Wilkes Dr Apt C7Monroe, NC 28110-2731 · (704) 465-5348
Sole ProprietorNo
Enumeration DateJuly 30, 2022
NPPES CertifiedJuly 30, 2022
NPI 1710613757 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 NC · 71366
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.
1408 E FRANKLIN ST, Monroe, NC 28112

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.

Counselor
1408 E FRANKLIN ST
MONROE, NC 28112
Counselor
1408 E FRANKLIN ST
MONROE, NC 28112
Counselor
1408 E FRANKLIN ST
MONROE, NC 28112
Licensed Practical Nurse
1408 E FRANKLIN ST
MONROE, NC 28112
Counselor (Professional)
1408 E FRANKLIN ST
MONROE, NC 28112
Licensed Practical Nurse
1408 E FRANKLIN ST
MONROE, NC 28112
Social Worker (Clinical)
1408 E FRANKLIN ST
MONROE, NC 28112
Licensed Practical Nurse
1408 E FRANKLIN ST
MONROE, NC 28112

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 Jackie Sides's NPI number?

The NPI number for Jackie Sides is 1710613757. It was assigned to this individual provider in the NPPES registry on July 30, 2022.

Where is Jackie Sides located?

Jackie Sides practices at 1408 E Franklin St, Monroe, NC 28112. The listed phone number is (704) 625-2080.

What is Jackie Sides'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 Jackie Sides was last updated on July 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.