Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548601511 Individual Practitioner Female Practitioner

Stephanie Jackson , LPN

Licensed Practical Nurse • Medford, NY

Professional Overview & Biography Verified Profile Summary

Stephanie Jackson, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Medford, NY. Practice services are available at 39 W. YAPHANK RD. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

39 W. Yaphank Rd.

Medford, NY 11763

Telephone 6313203077

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Medford, NY

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

Practicing in Medford, 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 264400

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 July 08, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2013

Registered at 39 W. YAPHANK RD., MEDFORD, NY 11763 (Tel: 6313203077)

📍
Updated Business Mailing Address July 08, 2013

Registered at 39 W. YAPHANK RD., MEDFORD, NY 11763

👤
Provider Name / Credentials Updated July 08, 2013

Recorded as STEPHANIE JACKSON, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2013

Licensed Practical Nurse (License #264400 in NY)

🟢
Initial NPI Registration & Enumeration July 08, 2013

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: 1548601511
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 08, 2013
Last Update: July 08, 2013
Sole Proprietor: Yes

Mailing Address

39 W. Yaphank Rd.

Medford, NY 11763

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.