National Provider Identifier

Jacklyn Colon, LPN

Jacklyn Colon, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Spencerport, NY and a listed phone number of (585) 794-1193.

NPI 1124889225Spencerport, NYLicensed Practical Nurse

Profile Overview

NPI
1124889225
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
January 17, 2024
Last Updated
January 17, 2024

Practice Location

  • 30 Nicole Dr
  • Spencerport, NY 14559-2186

Phone: (585) 794-1193

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1124889225
Entity Type
Individual
Last Name
Colon
First Name
Jacklyn
Credential
LPN
Mailing Street Address
30 Nicole Dr
Mailing City
Spencerport
Mailing State
NY
Mailing ZIP Code
14559-2186
Mailing Country
US
Mailing Phone
(585) 794-1193
Practice Street Address
30 Nicole Dr
Practice City
Spencerport
Practice State
NY
Practice ZIP Code
14559-2186
Practice Country
US
Practice Phone
(585) 794-1193
Enumeration Date
January 17, 2024
Last Updated
January 17, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
January 17, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)