JEANINE JACKSON LPN
NPI 1972113223
Licensed Practical Nurse in Rochester, NY

Active since August 03, 2020
65 BAXTER DR, ROCHESTER, NY 14626(585) 953-5091 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeanine Jackson Lpn NPPES

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

JEANINE JACKSON LPN (NPI 1972113223) is an individual licensed practical nurse in Rochester, New York, licensed in New York (337707) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1972113223
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJEANINE JACKSONCredential: LPN
Location Address65 BAXTER DRRochester, NY 14626-2137
Mailing Address65 Baxter DrRochester, NY 14626-2137 · (585) 953-5091
Sole ProprietorNo
Enumeration DateAugust 3, 2020
NPPES CertifiedAugust 3, 2020
NPI 1972113223 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 · 337707
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.
65 BAXTER DR, Rochester, NY 14626

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 Jeanine Jackson's NPI number?

The NPI number for Jeanine Jackson is 1972113223. It was assigned to this individual provider in the NPPES registry on August 3, 2020.

Where is Jeanine Jackson located?

Jeanine Jackson practices at 65 Baxter Dr, Rochester, NY 14626. The listed phone number is (585) 953-5091.

What is Jeanine 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 Jeanine Jackson was last updated on August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.