Active NPIIndividual provider

Luke S Jackson, CRITICAL CARE RN

Registered Nurse, Flight in Lewiston, Maine

NPI Number1376479626
Practice location
300 Main St, Lewiston, ME 04240-7027
Fax
—
Last updated
June 23, 2026

Luke S Jackson is a Registered Nurse, Flight based in Lewiston, ME. Luke S Jackson practices in Lewiston, ME and has the professional credentials of CRITICAL CARE RN. The NPI Number for Luke S Jackson is 1376479626 and holds a License No. 30299 (ME). The current practice location address for Luke S Jackson is 300 Main St, Lewiston, ME 04240-7027 and can be reached out via phone at 207-275-2961.

Provider Profile Details

NPI Number
1376479626
Provider Name
Luke S Jackson
Credential
CRITICAL CARE RN
Provider Entity Type
Individual
Gender
Male
Address
300 Main St, Lewiston, ME 04240-7027
Phone Number
207-275-2961
Primary Taxonomy
Registered Nurse, Flight · 163WF0300X
Sole Proprietor
No
Provider Enumeration Date
June 23, 2026
Last Update Date
June 23, 2026
Certification Date
June 23, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Main St
Lewiston, ME 04240-7027
State
Maine
Zip
04240-7027
Phone Number
207-275-2961
Lewiston, ME 04240Get directions →

Provider Business Mailing Address Details

Address
189 Odlin RD
Bangor, ME 04401-6703
City
Bangor
State
ME
Zip
04401-6703
Phone Number
207-275-2961

License Information

License Number (1)
30299
License State (1)
ME
Taxonomy (1)
Emergency Medical Technician, Paramedic · 146L00000X
License Number (2)
RN79258
License State (2)
ME
Taxonomy (2)
Registered Nurse, Flight · 163WF0300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Luke S Jackson, CRITICAL CARE RN?

The NPI number of Luke S Jackson, CRITICAL CARE RN is 1376479626. It was assigned on June 23, 2026 and is currently active in the NPPES registry.

What is the specialty of Luke S Jackson, CRITICAL CARE RN?

Luke S Jackson, CRITICAL CARE RN is registered under the primary taxonomy Registered Nurse, Flight (code 163WF0300X), licensed in ME under license number 30299.

Where does Luke S Jackson, CRITICAL CARE RN practice?

The practice location is 300 Main St, Lewiston, ME 04240-7027. The office can be reached at 207-275-2961 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376479626 directly on the NPPES registry website.

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