Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Angel Jackson

Registered Nurse in Charleston, WV · enumerated 2023.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407560402

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Registry record

Entity type Individual (Type 1)

Name Angel Jackson

Sex Female

Practice address 400 S Ruffner Rd Ste 11, Charleston, WV, 25314

Phone (304) 720-9595

Enumeration date Jan 13, 2023

Last updated in NPPES Mar 4, 2026

Taxonomy & licenses

163W00000X Registered Nurse Nursing Service Providers · License 91990 (WV) Primary

363LP2300X Primary Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 123472 (WV) Secondary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Angel Jackson?

The National Provider Identifier (NPI) for Angel Jackson is 1407560402, a Type 1 (individual) record in the CMS NPPES registry.

Where does Angel Jackson practice?

The practice location on file with NPPES is in Charleston, WV. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-04.