National Provider Identifier
Holly Jean Jackson, LPN
Holly Jean Jackson, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Canandaigua, NY and a listed phone number of (585) 905-1307.
Profile Overview
- NPI
- 1417351453
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- October 20, 2014
- Last Updated
- October 20, 2014
Practice Location
- 5A Lafayette Avenue
- Canandaigua, NY 14424
Phone: (585) 905-1307
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1417351453
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Holly
- Middle Name
- Jean
- Credential
- LPN
- Mailing Street Address
- 5A Lafayette Avenue
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424
- Mailing Country
- US
- Mailing Phone
- (585) 905-1307
- Practice Street Address
- 5A Lafayette Avenue
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424
- Practice Country
- US
- Practice Phone
- (585) 905-1307
- Enumeration Date
- October 20, 2014
- Last Updated
- October 20, 2014
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)