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

Individual provider Medical-Surgical Registered Nurse · NPI 1023627288

Nikkita Jackson is a Medical-Surgical Registered Nurse in Port Chester, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
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Practice location Address checks out

454 Westchester Ave
Port Chester, NY 10573
Phone: (914) 351-0650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical-Surgical Registered Nurse (primary) Taxonomy 163WM0705X · Licence 788484 (NY)

Record details

NPI number1023627288
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 23, 2020
Last updated in NPPESJuly 23, 2020
Certification dateJuly 23, 2020
Mailing address454 Westchester Avenue, Port Chester, NY 10573