National Provider Identifier
Sandy A Jackson
Sandy A Jackson is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Cuba, NY and a listed phone number of (585) 968-3210.
Profile Overview
- NPI
- 1043671530
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- March 11, 2016
- Last Updated
- March 29, 2017
Practice Location
- 14 Center St
- Cuba, NY 14727-1002
Phone: (585) 968-3210
Mailing Address
- 47 Rochambeau Avenue Ext
- Andover, NY 14806-9606
Specialties
- Family Nurse Practitioner (363LF0000X)
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1043671530
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Sandy
- Middle Name
- A
- Mailing Street Address
- 47 Rochambeau Avenue Ext
- Mailing City
- Andover
- Mailing State
- NY
- Mailing ZIP Code
- 14806-9606
- Mailing Country
- US
- Practice Street Address
- 14 Center St
- Practice City
- Cuba
- Practice State
- NY
- Practice ZIP Code
- 14727-1002
- Practice Country
- US
- Practice Phone
- (585) 968-3210
- Enumeration Date
- March 11, 2016
- Last Updated
- March 29, 2017
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X), Registered Nurse (163W00000X)