STEPHANIE E JACKSON REGISTERED NURSE NPI 1215738091

NPI Information

  • NPI: 1215738091
  • Provider Name: STEPHANIE E JACKSON, REGISTERED NURSE
  • Classification: Registered Nurse - 163WH0200X
  • Specialization: Home Health
  • Entity Type: Individual
  • Address: 5902 OLD YORK RD
    PHILADELPHIA, PA
    ZIP 19141
  • Phone: (215) 406-8673

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NPI Details

Stephanie E Jackson, REGISTERED NURSE is a home health registered nurse in Philadelphia, PA. Stephanie E Jackson, REGISTERED NURSE NPI is 1215738091. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5902 OLD YORK RD
PHILADELPHIA, PA
ZIP 19141-342
Phone: (215) 406-8673

The enumeration date for this NPI number is 3/19/2025 and was last updated on 3/19/2025.

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
1163WH0200XRegistered NurseHome HealthRN799102PENNSYLVANIAYes

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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