National Provider Identifier
Nicole Denise Jackson, LPN
Nicole Denise 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 (585) 362-1538.
Profile Overview
- NPI
- 1245569276
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- December 22, 2009
- Last Updated
- December 22, 2009
Practice Location
- 2122 Ridge RD W
- Rochester, NY 14626-2802
Phone: (585) 362-1538
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1245569276
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Nicole
- Middle Name
- Denise
- Name Prefix
- MS.
- Credential
- LPN
- Mailing Street Address
- 2122 Ridge RD W
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-2802
- Mailing Country
- US
- Mailing Phone
- (585) 362-1538
- Practice Street Address
- 2122 Ridge RD W
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-2802
- Practice Country
- US
- Practice Phone
- (585) 362-1538
- Enumeration Date
- December 22, 2009
- Last Updated
- December 22, 2009
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)