National Provider Identifier
Angela Jackson
Angela Jackson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Cheektowaga, NY and a listed phone number of (716) 536-6757.
Profile Overview
- NPI
- 1043636343
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- March 11, 2014
- Last Updated
- October 19, 2016
Practice Location
- 13 Slate Creek Dr Apt 5
- Cheektowaga, NY 14227-2947
Phone: (716) 536-6757
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1043636343
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Angela
- Name Prefix
- Mrs.
- Mailing Street Address
- 13 Slate Creek Dr Apt 5
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14227-2947
- Mailing Country
- US
- Mailing Phone
- (716) 536-6757
- Practice Street Address
- 13 Slate Creek Dr Apt 5
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14227-2947
- Practice Country
- US
- Practice Phone
- (716) 536-6757
- Enumeration Date
- March 11, 2014
- Last Updated
- October 19, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)