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

Lynette Jackson

Individual provider Licensed Practical Nurse · NPI 1467221770

Lynette Jackson is a Licensed Practical Nurse in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2023.

Licensed in
PA
In the registry since
2023

Practice location Address checks out

5000 Parkside Ave
Philadelphia, PA 19131-4714
Phone: (215) 879-6116
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 PN106995L (PA)

Record details

NPI number1467221770
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 28, 2023
Last updated in NPPESDecember 28, 2023
Certification dateDecember 28, 2023

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