What is Angelita Jackson's NPI number?

Angelita Jackson's National Provider Identifier (NPI) is 1578078077, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Angelita Jackson's specialty?

Angelita Jackson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).

Where is Angelita Jackson located?

Angelita Jackson's practice location on file with NPPES is 323 Angelo Dr, Montgomery, NY 12549-1627.

What is Angelita Jackson's phone number?

The practice phone number listed in the NPPES registry for Angelita Jackson is (914) 980-7802.

Is Angelita Jackson's NPI active?

Yes — Angelita Jackson's NPI (1578078077) is active in the NPPES registry as of the last update on 2017-12-06.

IndividualActive

Angelita Jackson

NPI 1578078077 · Licensed Practical Nurse · Montgomery, NY

Angelita Jackson is a Licensed Practical Nurse provider in Montgomery, NY (NPI 1578078077).

Provider details

NPI number: 1578078077
Entity type: Individual
Primary specialty: Licensed Practical NurseNursing Service Providers
Sex: Female
Sole proprietor: Yes
License: 290702 (NY)

Specialties & taxonomies

Licensed Practical NursePrimary164W00000XLicense 290702 (NY)
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

323 Angelo Dr

Montgomery, NY 12549-1627

Phone: (914) 980-7802

Street-level locationGet directions

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Mailing address