Individual provider Active NPI

Aletheia Jackson, NURSE PRACTIONER

  • Psychiatric/Mental Health Registered Nurse
  • Sicklerville, NJ
National Provider Identifier
1780505479
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
26NJ15573600 Issued in NJ
Practice address
542 Berlin Cross Keys Rd Ste 3
Sicklerville, NJ 08081-4367
Phone
(267) 258-3387
Fax
(267) 258-3387
NPI assigned
Jul 21, 2026
Last updated
Jul 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 26NJ15573600 NJ Primary

Addresses

Primary practice location

542 Berlin Cross Keys Rd Ste 3
Sicklerville, NJ 08081-4367

Mailing address

542 Berlin Cross Keys Rd Ste 3
Sicklerville, NJ 08081-4367
Phone (267) 258-3387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1780505479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 BERLIN CROSS KEYS RD STE 3",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080814367",
            "telephone_number": "267-258-3387",
            "fax_number": "267-258-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 BERLIN CROSS KEYS RD STE 3",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080814367",
            "telephone_number": "267-258-3387",
            "fax_number": "267-258-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ALETHEIA",
        "credential": "NURSE PRACTIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15573600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sicklerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.