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

Mr. James Augustus Jackson, LPN

Individual provider Licensed Practical Nurse · NPI 1083434385

Mr. James Augustus Jackson, LPN is a Licensed Practical Nurse in Wheatley Heights, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024
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

58 Main Ave
Wheatley Heights, NY 11798-1324
Phone: (516) 640-9517
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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 351323 (NY)

Record details

NPI number1083434385
Entity typeIndividual (Type 1)
GenderMale
Credentials LPN
Sole proprietorNo
NPI enumeratedOctober 12, 2024
Last updated in NPPESOctober 12, 2024
Certification dateOctober 12, 2024

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