National Provider Identifier
Evelyn Anita Jackson, RN
Evelyn Anita Jackson, RN is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Registered Nurse in Buffalo, NY and a listed phone number of (716) 816-2444.
Profile Overview
- NPI
- 1457113771
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Registered Nurse
- Enumeration Date
- January 24, 2024
- Last Updated
- January 24, 2024
Practice Location
- 400 Forest Ave
- Buffalo, NY 14213-1207
Phone: (716) 816-2444
Mailing Address
- 619 Lisbon Ave
- Buffalo, NY 14215-1213
Specialties
- Psychiatric/Mental Health Registered Nurse (163WP0808X)
- Adult Psychiatric/Mental Health Registered Nurse (163WP0809X)
Full Record
- NPI
- 1457113771
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Evelyn
- Middle Name
- Anita
- Credential
- RN
- Mailing Street Address
- 619 Lisbon Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-1213
- Mailing Country
- US
- Mailing Phone
- (716) 544-7792
- Practice Street Address
- 400 Forest Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14213-1207
- Practice Country
- US
- Practice Phone
- (716) 816-2444
- Enumeration Date
- January 24, 2024
- Last Updated
- January 24, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 24, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Registered Nurse (163WP0808X), Adult Psychiatric/Mental Health Registered Nurse (163WP0809X)