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Deactivated NPI 1356654024 Deactivated / Inactive NPI Female Practitioner

Ernestine Jackson , LPN

Licensed Practical Nurse • Hempstead, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ernestine Jackson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 22, 2010
NPI Deactivation Date October 22, 2018
Total Practice Duration ~8 Years of Practice (2010 – 2018)

Professional Overview & Biography Verified Profile Summary

Ernestine Jackson, LPN was a registered Licensed Practical Nurse practicing in Hempstead, NY. Throughout an active medical career spanning 8 years, Ernestine Jackson provided care at the practice location at 20 WENDELL ST until profile deactivation on 2018-10-22.

Practice Location & Contact Primary Location

Practice Address

20 Wendell St
B19

Hempstead, NY 115501206

Telephone 5165397827

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Hempstead, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
120 Specialists

Practicing in Hempstead, NY (23738 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 NY 245931

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Donis Gil , ATC

Specialist/Technologist - Athletic Trainer

NPI 1245777879

Certified Athletic Trainer

Therisa Hemingway , LPN

Licensed Practical Nurse

NPI 1346586575

Licensed Practical Nurse

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated October 22, 2018

Record deactivated on October 22, 2018

NPI Profile Active July 22, 2010

NPI status registered as active in NPPES database

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Updated Practice Location July 22, 2010

Registered at 20 WENDELL ST, B19, HEMPSTEAD, NY 115501206 (Tel: 5165397827)

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Updated Business Mailing Address July 22, 2010

Registered at 20 WENDELL ST, B19, HEMPSTEAD, NY 115501206 (Tel: 5165397827)

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Provider Name / Credentials Updated July 22, 2010

Recorded as ERNESTINE JACKSON, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2010

Licensed Practical Nurse (License #245931 in NY)

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Initial NPI Registration & Enumeration July 22, 2010

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: 1356654024
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2010
Last Update: July 22, 2010
Deactivation Date: October 22, 2018

Mailing Address

20 Wendell St, B19

Hempstead, NY 115501206

Phone: 5165397827

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.