IndividualActive
Annieka Jackson
NPI 1851921019 · General Practice Registered Nurse · Bronx, NY
Provider details
- NPI number
- 1851921019
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 722776 (NY)
Specialties & taxonomies
Nursing Service Providers
Practice location
860 Melrose Ave
Bronx, NY 10451-4443
Phone: (917) 473-6996
Approximate (ZIP-level) locationGet directions
Mailing address
815 Ocean Ave Apt 1b
Brooklyn, NY 11226-5945
Registry dates
- Enumerated
- 2020-01-16
- Last updated
- 2020-01-16
- Certified
- 2020-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.