JILL JACKSON LPN
NPI 1730559535
Licensed Practical Nurse in Staten Island, NY

Q: What is Jill Jackson's NPI number?

The NPI number for Jill Jackson is 1730559535. It was assigned to this individual provider in the NPPES registry on October 6, 2015.

Q: What is Jill 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 Jill Jackson was last updated on October 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 October 06, 2015

265 KISSEL AVE, STATEN ISLAND, NY 10310(718) 490-4946 Get Directions Write a Review

NPPES record last updated: October 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jill Jackson Lpn NPPES

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

JILL JACKSON LPN (NPI 1730559535) is an individual licensed practical nurse in Staten Island, New York, licensed in New York (322734-1) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1730559535

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameJILL JACKSONCredential: LPN

Location Address265 KISSEL AVEStaten Island, NY 10310-1623

Mailing Address265 Kissel AveStaten Island, NY 10310-1623 · (718) 490-4946

Phone(718) 490-4946

Sole ProprietorYes

Enumeration DateOctober 6, 2015

✔ NPI 1730559535 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 · 322734-1

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.

265 KISSEL AVE, Staten Island, NY 10310

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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 Jill Jackson's NPI number?

The NPI number for Jill Jackson is 1730559535. It was assigned to this individual provider in the NPPES registry on October 6, 2015.

Where is Jill Jackson located?

Jill Jackson practices at 265 Kissel Ave, Staten Island, NY 10310. The listed phone number is (718) 490-4946.

What is Jill 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 Jill Jackson was last updated on October 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.