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Minyelle Jackson, LPN
NPI 1215373980 · Licensed Practical Nurse · Brentwood, NY
Minyelle Jackson, LPN is a Licensed Practical Nurse provider in Brentwood, NY (NPI 1215373980).
Provider details
- NPI number
- 1215373980
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 287782 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
801 Crooked Hill Rd # 325
Brentwood, NY 11717-1045
Phone: (631) 671-5798
Street-level locationGet directions
Mailing address
801 Crooked Hill Rd # 325
Brentwood, NY 11717-1045
Registry dates
- Enumerated
- 2013-05-21
- Last updated
- 2013-12-02
Frequently asked questions
- What is Minyelle Jackson's NPI number?
- Minyelle Jackson's National Provider Identifier (NPI) is 1215373980, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Minyelle Jackson's specialty?
- Minyelle Jackson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Minyelle Jackson located?
- Minyelle Jackson's practice location on file with NPPES is 801 Crooked Hill Rd # 325, Brentwood, NY 11717-1045.
- What is Minyelle Jackson's phone number?
- The practice phone number listed in the NPPES registry for Minyelle Jackson is (631) 671-5798.
- Is Minyelle Jackson's NPI active?
- Yes — Minyelle Jackson's NPI (1215373980) is active in the NPPES registry as of the last update on 2013-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.