IndividualActive
Andrea Jackson
NPI 1912411133 · Licensed Practical Nurse · Freeport, NY
Andrea Jackson is a Licensed Practical Nurse provider in Freeport, NY (NPI 1912411133).
Provider details
- NPI number
- 1912411133
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 258201 (NY)
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
52 Hillside Ave
Freeport, NY 11520-1726
Phone: (516) 451-5257
Street-level locationGet directions
Mailing address
52 Hillside Ave
Freeport, NY 11520-1726
Registry dates
- Enumerated
- 2017-11-27
- Last updated
- 2017-11-27
Frequently asked questions
- What is Andrea Jackson's NPI number?
- Andrea Jackson's National Provider Identifier (NPI) is 1912411133, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andrea Jackson's specialty?
- Andrea Jackson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Andrea Jackson located?
- Andrea Jackson's practice location on file with NPPES is 52 Hillside Ave, Freeport, NY 11520-1726.
- What is Andrea Jackson's phone number?
- The practice phone number listed in the NPPES registry for Andrea Jackson is (516) 451-5257.
- Is Andrea Jackson's NPI active?
- Yes — Andrea Jackson's NPI (1912411133) is active in the NPPES registry as of the last update on 2017-11-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.