National Provider Identifier
Janice Elaine Jackson, RN
Janice Elaine Jackson, RN is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Registered Nurse in Elmira, NY and a listed phone number of (804) 307-7111.
Profile Overview
- NPI
- 1033343967
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Registered Nurse
- Enumeration Date
- May 06, 2009
- Last Updated
- May 06, 2009
Practice Location
- 1135 Hoffman Street
- Elmira, NY 14905
Phone: (804) 307-7111
Specialties
- Addiction (Substance Use Disorder) Registered Nurse (163WA0400X)
Full Record
- NPI
- 1033343967
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Janice
- Middle Name
- Elaine
- Name Prefix
- Mrs.
- Credential
- RN
- Mailing Street Address
- 1135 Hoffman Street
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14905
- Mailing Country
- US
- Mailing Phone
- (804) 307-7111
- Practice Street Address
- 1135 Hoffman Street
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905
- Practice Country
- US
- Practice Phone
- (804) 307-7111
- Enumeration Date
- May 06, 2009
- Last Updated
- May 06, 2009
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Registered Nurse (163WA0400X)