MR. JAMES AUGUSTUS JACKSON LPN NPI 1083434385

NPI Information

  • NPI: 1083434385
  • Provider Name: MR. JAMES AUGUSTUS JACKSON, LPN
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 58 MAIN AVE
    WHEATLEY HEIGHTS, NY
    ZIP 11798
  • Phone: (516) 640-9517

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NPI Details

MR. James Augustus Jackson, LPN is a licensed practical nurse in Wheatley Heights, NY. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. MR. James Augustus Jackson, LPN NPI is 1083434385. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

58 MAIN AVE
WHEATLEY HEIGHTS, NY
ZIP 11798-324
Phone: (516) 640-9517

The enumeration date for this NPI number is 10/12/2024 and was last updated on 10/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1164W00000XLicensed Practical Nurse351323NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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