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Active NPI 1174039945 Individual Practitioner Female Practitioner

Lillie Pearl Jackson , LPN

Licensed Practical Nurse • Riviera Beach, FL

Professional Overview & Biography Verified Profile Summary

Lillie Jackson, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Riviera Beach, FL. Practice services are available at 1611 W 35TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1611 W 35th St

Riviera Beach, FL 334042925

Telephone 5615429923

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Riviera Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
12 Specialists

Practicing in Riviera Beach, FL (1995 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License FL PN5175495

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active December 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 15, 2017

Registered at 1611 W 35TH ST, RIVIERA BEACH, FL 334042925 (Tel: 5615429923)

📍
Updated Business Mailing Address December 15, 2017

Registered at 1611 W 35TH ST, RIVIERA BEACH, FL 334042925 (Tel: 5615429923)

👤
Provider Name / Credentials Updated December 15, 2017

Recorded as LILLIE JACKSON, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2017

Licensed Practical Nurse (License #PN5175495 in FL)

🟢
Initial NPI Registration & Enumeration December 15, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174039945
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 15, 2017
Last Update: December 15, 2017
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

1611 W 35th St

Riviera Beach, FL 334042925

Phone: 5615429923

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.