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

Andrea Jackson

Individual provider Licensed Practical Nurse · NPI 1912411133

Andrea Jackson is a Licensed Practical Nurse in Freeport, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2017

Practice location Address checks out

52 Hillside Ave
Freeport, NY 11520-1726
Phone: (516) 451-5257
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 258201 (NY)

Record details

NPI number1912411133
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 27, 2017
Last updated in NPPESNovember 27, 2017
Mailing address52 Hillside Ave, Freeport, NY 11520-1726

Other providers in Freeport