BRUCE JACKSON RN FA NPI 1598133571

NPI Information

  • NPI: 1598133571
  • Provider Name: BRUCE JACKSON, RN, FA
  • Classification: Registered Nurse - 163WX0800X
  • Specialization: Orthopedic
  • Entity Type: Individual
  • Address: 2828 1ST AVE STE 400
    HUNTINGTON, WV
    ZIP 25702
  • Phone: (304) 525-6905

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NPI Details

Bruce Jackson, RN, FA is an orthopedic registered nurse in Huntington, WV. Bruce Jackson, RN, FA NPI is 1598133571. 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:

2828 1ST AVE STE 400
HUNTINGTON, WV
ZIP 25702-236
Phone: (304) 525-6905
Fax: (304) 525-4316

The enumeration date for this NPI number is 9/9/2015 and was last updated on 9/9/2015.

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
1163WX0800XRegistered NurseOrthopedic398466OHIONo
2163WX0800XRegistered NurseOrthopedic60256WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1SC9270053MEDICARE PINOHIO
20010681000MEDICAIDWEST VIRGINIA
3352265MEDICAIDOHIO
4SC9270051MEDICARE PINWEST VIRGINIA

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

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