Jackie C Littlejohn, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

0002091770 Issued in VA

Practice address

28 Jolama Dr
Newport News, VA 23602-4945

Phone

(757) 232-1118

NPI assigned

May 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1495929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790213205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 JOLAMA DRIVE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23602",
            "telephone_number": "757-232-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 JOLAMA DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024945",
            "telephone_number": "757-232-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLEJOHN",
        "first_name": "JACKIE",
        "middle_name": "C",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "0002091770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Link, D.D.S.
• Natalie Marie Lipscomb, DO
• Travis Chase Lipscomb, DO
• Lite Mental Health and Wellness Center PLLC
• Little Ripples ABA Therapy LLC
• Alexis Danielle Littleton, MSW
• Jemina M Liverman, DNP, FNP-C, PMHNP-BC
• Living Stone Health Specialists
• Living Waters Christian Fellowship
• Living With Disabilities

• Licensed Practical Nurse in Newport News, VA
• Providers in Newport News, VA by specialty
• Licensed Practical Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.