National Provider Identifier
Jordanei Rebecca Jackson
Jordanei Rebecca Jackson is listed in the NPPES registry with a primary specialty of Counselor in Buffalo, NY and a listed phone number of (716) 819-3430.
Profile Overview
- NPI
- 1134827421
- Provider Type
- Individual
- Primary Specialty
- Counselor
- Enumeration Date
- February 16, 2023
- Last Updated
- February 16, 2023
Practice Location
- 768 Delaware Ave
- Buffalo, NY 14209-2006
Phone: (716) 819-3430
Specialties
- Counselor (101Y00000X)
Full Record
- NPI
- 1134827421
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Jordanei
- Middle Name
- Rebecca
- Mailing Street Address
- 768 Delaware Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14209-2006
- Mailing Country
- US
- Mailing Phone
- (716) 819-3430
- Practice Street Address
- 768 Delaware Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14209-2006
- Practice Country
- US
- Practice Phone
- (716) 819-3430
- Enumeration Date
- February 16, 2023
- Last Updated
- February 16, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- February 16, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Counselor (101Y00000X)