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

Janea D Jackson

Individual provider Licensed Practical Nurse · NPI 1225512585

Janea D Jackson is a Licensed Practical Nurse in Bay Shore, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018
Specialties on file
2

Practice location Address checks out

74 Smith Ave
Bay Shore, NY 11706-7380
Phone: (631) 951-7221
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 887851-01 (NY)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 332397-1 (NY)

Record details

NPI number1225512585
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 21, 2018
Last updated in NPPESAugust 2, 2024
Certification dateAugust 2, 2024

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