National Provider Identifier
Marguerite Elizabeth Jackson, LPN
Marguerite Elizabeth Jackson, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Ontario, NY and a listed phone number of (585) 506-6731.
Profile Overview
- NPI
- 1275864498
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- January 28, 2010
- Last Updated
- January 28, 2010
Practice Location
- 2685 Ridge RD
- Ontario, NY 14519-9560
Phone: (585) 506-6731
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1275864498
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Marguerite
- Middle Name
- Elizabeth
- Name Prefix
- Mrs.
- Credential
- LPN
- Provider Other Last Name
- Loren
- Provider Other First Name
- Marguerite
- Provider Other Middle Name
- Elizabeth
- Provider Other Credential Text
- LPN
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 2685 Ridge RD
- Mailing City
- Ontario
- Mailing State
- NY
- Mailing ZIP Code
- 14519-9560
- Mailing Country
- US
- Mailing Phone
- (585) 506-6731
- Mailing Fax
- (585) 336-4895
- Practice Street Address
- 2685 Ridge RD
- Practice City
- Ontario
- Practice State
- NY
- Practice ZIP Code
- 14519-9560
- Practice Country
- US
- Practice Phone
- (585) 506-6731
- Practice Fax
- (585) 336-4895
- Enumeration Date
- January 28, 2010
- Last Updated
- January 28, 2010
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)