Individual provider · Type 1 NPI

Rashidah Jackson, LPN

Licensed Practical Nurse · Philadelphia, PA

NPI number 1073421376 Active

Practice location

30 S 15th St Ste 1550
Philadelphia, PA 19102-4806

Mailing address

388 Canterbury Rd
Bushkill, PA 18324-9055

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN287628 (PA)

Licensed Practical Nurse: 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.

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About NPI 1073421376

Rashidah Jackson, LPN's National Provider Identifier is 1073421376, issued on Aug 29, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 29, 2026.