Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angelita Jackson

Individual provider Licensed Practical Nurse · NPI 1578078077

Angelita Jackson is a Licensed Practical Nurse in Montgomery, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2017

Practice location Address checks out

323 Angelo Dr
Montgomery, NY 12549-1627
Phone: (914) 980-7802
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 290702 (NY)

Record details

NPI number1578078077
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 6, 2017
Last updated in NPPESDecember 6, 2017

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