ANDREA JACKSON
NPI 1912411133
Licensed Practical Nurse in Freeport, NY

Q: What is Andrea Jackson's NPI number?

The NPI number for Andrea Jackson is 1912411133. It was assigned to this individual provider in the NPPES registry on November 27, 2017.

Q: What is Andrea 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 Andrea Jackson was last updated on November 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 November 27, 2017

52 HILLSIDE AVE, FREEPORT, NY 11520(516) 451-5257 Get Directions Write a Review

NPPES record last updated: November 27, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Andrea Jackson NPPES

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

ANDREA JACKSON (NPI 1912411133) is an individual licensed practical nurse in Freeport, New York, licensed in New York (258201) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1912411133

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameANDREA JACKSON

Location Address52 HILLSIDE AVEFreeport, NY 11520-1726

Mailing Address52 Hillside AveFreeport, NY 11520-1726 · (516) 451-5257

Phone(516) 451-5257

Sole ProprietorYes

Enumeration DateNovember 27, 2017

✔ NPI 1912411133 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 · 258201

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.

52 HILLSIDE AVE, Freeport, NY 11520

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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 Andrea Jackson's NPI number?

The NPI number for Andrea Jackson is 1912411133. It was assigned to this individual provider in the NPPES registry on November 27, 2017.

Where is Andrea Jackson located?

Andrea Jackson practices at 52 Hillside Ave, Freeport, NY 11520. The listed phone number is (516) 451-5257.

What is Andrea 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 Andrea Jackson was last updated on November 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.