IndividualActive
Lillie Jackson, LPN
NPI 1174039945 · Licensed Practical Nurse · Riviera Beach, FL
Lillie Jackson, LPN is a Licensed Practical Nurse provider in Riviera Beach, FL (NPI 1174039945).
Provider details
- NPI number
- 1174039945
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- PN5175495 (FL)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1611 W 35th St
Riviera Beach, FL 33404-2925
Phone: (561) 542-9923
Street-level locationGet directions
Mailing address
1611 W 35th St
Riviera Beach, FL 33404-2925
Registry dates
- Enumerated
- 2017-12-15
- Last updated
- 2017-12-15
Frequently asked questions
- What is Lillie Jackson's NPI number?
- Lillie Jackson's National Provider Identifier (NPI) is 1174039945, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lillie Jackson's specialty?
- Lillie Jackson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Lillie Jackson located?
- Lillie Jackson's practice location on file with NPPES is 1611 W 35th St, Riviera Beach, FL 33404-2925.
- What is Lillie Jackson's phone number?
- The practice phone number listed in the NPPES registry for Lillie Jackson is (561) 542-9923.
- Is Lillie Jackson's NPI active?
- Yes — Lillie Jackson's NPI (1174039945) is active in the NPPES registry as of the last update on 2017-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.