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

Kay Lyn Jackson, LPN

Individual provider Licensed Practical Nurse · NPI 1992933477

Kay Lyn Jackson, LPN is a Licensed Practical Nurse in Mastic, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

30 Montgomery Ave
Mastic, NY 11950-2606
Phone: (631) 433-2540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 276033-1 (NY)

Record details

NPI number1992933477
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorYes
NPI enumeratedJune 23, 2009
Last updated in NPPESJune 23, 2009
Mailing address30 Montgomery Ave, Mastic, NY 11950-2606

Other providers in Mastic