National Provider Identifier
Samantha R. Jackson, LPN
Samantha R. Jackson, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Lewiston, NY and a listed phone number of (716) 298-2974.
Profile Overview
- NPI
- 1457652489
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- November 08, 2010
- Last Updated
- November 08, 2010
Practice Location
- 5285 Lewiston RD
- Lewiston, NY 14092-1942
Phone: (716) 298-2974
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1457652489
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Samantha
- Middle Name
- R.
- Name Prefix
- MS.
- Credential
- LPN
- Mailing Street Address
- 5285 Lewiston RD
- Mailing City
- Lewiston
- Mailing State
- NY
- Mailing ZIP Code
- 14092-1942
- Mailing Country
- US
- Mailing Phone
- (716) 298-2974
- Mailing Fax
- (716) 298-3815
- Practice Street Address
- 5285 Lewiston RD
- Practice City
- Lewiston
- Practice State
- NY
- Practice ZIP Code
- 14092-1942
- Practice Country
- US
- Practice Phone
- (716) 298-2974
- Practice Fax
- (716) 298-3815
- Enumeration Date
- November 08, 2010
- Last Updated
- November 08, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)