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

Minyelle Jackson, LPN

Individual provider Licensed Practical Nurse · NPI 1215373980

Minyelle Jackson, LPN is a Licensed Practical Nurse in Brentwood, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

801 Crooked Hill Rd # 325
Brentwood, NY 11717-1045
Phone: (631) 671-5798
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 287782 (NY)

Record details

NPI number1215373980
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorYes
NPI enumeratedMay 21, 2013
Last updated in NPPESDecember 2, 2013

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