National Provider Identifier
Carnel Jackson, NURSE PRACTITIONER
Carnel Jackson, NURSE PRACTITIONER is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 275-0980.
Profile Overview
- NPI
- 1336523257
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- July 10, 2015
- Last Updated
- June 29, 2023
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-2040
Phone: (585) 275-0980
Mailing Address
- 978 Clinton Ave S
- Rochester, NY 14620-2040
Specialties
- Family Nurse Practitioner (363LF0000X)
Endpoints
- cjackson87253@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1336523257
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Carnel
- Name Prefix
- Mr.
- Credential
- NURSE PRACTITIONER
- Mailing Street Address
- 978 Clinton Ave S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-2040
- Mailing Country
- US
- Mailing Phone
- (585) 576-1001
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-2040
- Practice Country
- US
- Practice Phone
- (585) 275-0980
- Enumeration Date
- July 10, 2015
- Last Updated
- June 29, 2023
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)
- Other Identifiers
- 342660 (NY)