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
Mailing address323 Angelo Dr, Montgomery, NY 12549-1627

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