National Provider Identifier
Delise K Jackson, RN
Delise K Jackson, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Orchard Park, NY and a listed phone number of (716) 822-2177.
Profile Overview
- NPI
- 1154969848
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- December 13, 2019
- Last Updated
- December 13, 2019
Practice Location
- 3176 Abbott RD Ste 500
- Orchard Park, NY 14127-1069
Phone: (716) 822-2177
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1154969848
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Delise
- Middle Name
- K
- Credential
- RN
- Mailing Street Address
- 3176 Abbott RD Ste 500
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-1069
- Mailing Country
- US
- Mailing Phone
- (716) 822-2177
- Mailing Fax
- (716) 822-8165
- Practice Street Address
- 3176 Abbott RD Ste 500
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1069
- Practice Country
- US
- Practice Phone
- (716) 822-2177
- Practice Fax
- (716) 822-8165
- Enumeration Date
- December 13, 2019
- Last Updated
- December 13, 2019
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 13, 2019
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)