National Provider Identifier
Katelynn E Jackson, LPN
Katelynn E Jackson, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Lyons, NY and a listed phone number of (315) 719-7233.
Profile Overview
- NPI
- 1477086775
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- April 04, 2017
- Last Updated
- April 04, 2017
Practice Location
- 101 William St
- Lyons, NY 14489-1553
Phone: (315) 719-7233
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1477086775
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Katelynn
- Middle Name
- E
- Credential
- LPN
- Mailing Street Address
- 101 William St
- Mailing City
- Lyons
- Mailing State
- NY
- Mailing ZIP Code
- 14489-1553
- Mailing Country
- US
- Mailing Phone
- (315) 719-7233
- Practice Street Address
- 101 William St
- Practice City
- Lyons
- Practice State
- NY
- Practice ZIP Code
- 14489-1553
- Practice Country
- US
- Practice Phone
- (315) 719-7233
- Enumeration Date
- April 04, 2017
- Last Updated
- April 04, 2017
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)