Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154201663 Individual Practitioner Female Practitioner

Pharrodah Jackson , LPN

Licensed Practical Nurse • Annandale, VA

Professional Overview & Biography Verified Profile Summary

Pharrodah Jackson, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Annandale, VA. Practice services are available at 7008 LITTLE RIVER TPKE STE G under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7008 Little River Tpke Ste G

Annandale, VA 220033234

Telephone 8333570704
Associated Practice Facility / Clinic
🏢 Sellati & Co., Inc. Facility NPI 1417107772

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Annandale, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
9 Specialists

Practicing in Annandale, VA (613 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

CMS Verified: 2025-09-04
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License VA 0002098056

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

8 Associated Practitioners
Kara Holland Walker

Counselor - Addiction (Substance Use Disorder)

NPI 1013886530
Tsigereda Belayneh

Registered Nurse - Addiction (Substance Use Disorder)

NPI 1154096402
Abraham Washington , COUNSELOR

Counselor - Addiction (Substance Use Disorder)

NPI 1437031275
Doris Mugula

Licensed Practical Nurse

NPI 1467126144
Dawn Jones , 101YA0400X

Counselor - Addiction (Substance Use Disorder)

NPI 1568120582
Eulanda Wellons

Licensed Practical Nurse

NPI 1578443198

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 04, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location September 04, 2025

Registered at 7008 LITTLE RIVER TPKE STE G, ANNANDALE, VA 220033234 (Tel: 8333570704)

📍
Updated Business Mailing Address September 04, 2025

Registered at 5113 SOUTHERN AVE APT 101, CAPITOL HEIGHTS, MD 207435170 (Tel: 2407148758)

👤
Provider Name / Credentials Updated September 04, 2025

Recorded as PHARRODAH JACKSON, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2025

Licensed Practical Nurse (License #0002098056 in VA)

🟢
Initial NPI Registration & Enumeration September 04, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Pharrodah Jackson. Be the first to share your experience!

Sign in to leave a review for Pharrodah Jackson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1154201663
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 04, 2025
Last Update: September 04, 2025
Sole Proprietor: No

Mailing Address

5113 Southern Ave Apt 101

Capitol Heights, MD 207435170

Phone: 2407148758

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.