NPI 1154201663

Pharrodah Jackson, LPN

Practitioner Licensed Practical Nurse Annandale, VA

Practice location

Address: 7008 Little River Tpke STE G, Annandale, VA 22003-3234
Phone: (833) 357-0704
Mailing address: 5113 Southern Ave APT 101, Capitol Heights, MD 20743-5170

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 0002098056 (VA)

Other Licensed Practical Nurse providers in Virginia →

Registry record

NPI: 1154201663
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Sep 2025
Record last updated: 4 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.