EVELYN A. JACKSON RN – NPI #1457113771
Registered Nurse

EVELYN JACKSON is a registered nurse (RN) located in BUFFALO, NY. NPPES recently assigned the NPI number 1457113771 to EVELYN JACKSON on January 24, 2024. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 163WP0808X from the Health Care Provider Taxonomy code set, which is classified as Registered Nurse specializing in Psychiatric/Mental Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EVELYN JACKSON below.

NPI Profile for
EVELYN A. JACKSON

NPI Number
1457113771
Created

(about 5 weeks ago)
Entity Type
Type-1  Individual (Female)
Legal Name
EVELYN A. JACKSON
Credentials
RN
Primary location
400 FOREST AVE
BUFFALO, NY 14213-1207
Phone: (716) 816-2444 Fax:
Mailing address
619 LISBON AVE
BUFFALO, NY 14215-1213
Phone: (716) 544-7792 Fax:
Sole Proprietor
No
Updated
Certification Date
Jan 24, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
163WP0808X
- Registered Nurse / Psychiatric/Mental Health (Primary)
NY 459958
163WP0809X
- Registered Nurse / Psychiatric/Mental Health, Adult
NY 450058

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.