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EVAE JACKSON LPN
NPI 1801494034
Licensed Practical Nurse in Cockeysville, MD

Active since October 09, 2020
7 WILLOW TREE GARTH APT D, COCKEYSVILLE, MD 21030(732) 900-6493 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evae Jackson Lpn NPPES

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

EVAE JACKSON LPN (NPI 1801494034) is an individual licensed practical nurse in Cockeysville, Maryland, licensed in New York (338537) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1801494034
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameEVAE JACKSONCredential: LPN
Location Address7 WILLOW TREE GARTH APT DCockeysville, MD 21030-5276
Mailing Address7 Willow Tree Garth Apt DCockeysville, MD 21030-5276 · (732) 900-6493
Phone(732) 900-6493
Sole ProprietorYes
Enumeration DateOctober 9, 2020
NPPES CertifiedOctober 9, 2020
✔ NPI 1801494034 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 · 338537
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.
7 WILLOW TREE GARTH APT D, Cockeysville, MD 21030
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Evae Jackson's NPI number?

The NPI number for Evae Jackson is 1801494034. It was assigned to this individual provider in the NPPES registry on October 9, 2020.

Where is Evae Jackson located?

Evae Jackson practices at 7 Willow Tree Garth Apt D, Cockeysville, MD 21030. The listed phone number is (732) 900-6493.

What is Evae 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 Evae Jackson was last updated on October 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.