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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANGEL JACKSON

Active

ANGEL JACKSON is a Registered Nurse healthcare provider located in CHARLESTON, West Virginia. NPI 1407560402 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · CHARLESTON, WV

Registration Details

NPI Number
1407560402
Provider Type
Individual
Gender
Female
NPI Issued
Jan 13, 2023 (3.6154596408729 yrs)
Last Updated
Mar 4, 2026
Licenses
91990 (WV)
123472 (WV)

Practice Information

Address
400 S RUFFNER RD STE 11
CHARLESTON, WV, 253141542
Browse WV providers · Browse ZIP 25314
Phone
3047209595
Primary Specialty
Registered Nurse
163W00000X

Other Registered Nurse Providers in CHARLESTON, WV

Name Credential NPI
PAMELA A MUSICK RN 1992735146
REBECCA OYLER SULLIVAN CRNA 1083639421
MS. LISA LYNN MCKENZIE CRNA 1992812432
MR. THOMAS FRANKLIN STAMPER JR. CRNA 1255430732
BRANDY STALNAKER RN 1801082557
MARY WORKMAN RN 1902271505
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.