National Provider Identifier
Nakeisha L Jackson, LPN
Nakeisha L Jackson, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (917) 645-3217.
Profile Overview
- NPI
- 1225770886
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- April 12, 2022
- Last Updated
- April 12, 2022
Practice Location
- 131 Normandy Ave
- Rochester, NY 14619-1131
Phone: (917) 645-3217
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1225770886
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Nakeisha
- Middle Name
- L
- Name Prefix
- Mrs.
- Credential
- LPN
- Mailing Street Address
- 131 Normandy Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14619-1131
- Mailing Country
- US
- Mailing Phone
- (917) 645-3217
- Mailing Fax
- (585) 730-4875
- Practice Street Address
- 131 Normandy Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14619-1131
- Practice Country
- US
- Practice Phone
- (917) 645-3217
- Practice Fax
- (585) 730-4875
- Enumeration Date
- April 12, 2022
- Last Updated
- April 12, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- April 12, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)