National Provider Identifier

Jasmine M Jackson, LPN

Jasmine M Jackson, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 710-0142.

NPI 1477288777Buffalo, NYLicensed Practical Nurse

Profile Overview

NPI
1477288777
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
July 20, 2022
Last Updated
July 20, 2022

Practice Location

  • 202 Rounds Ave
  • Buffalo, NY 14215-1220

Phone: (716) 710-0142

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1477288777
Entity Type
Individual
Last Name
Jackson
First Name
Jasmine
Middle Name
M
Credential
LPN
Mailing Street Address
202 Rounds Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-1220
Mailing Country
US
Practice Street Address
202 Rounds Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-1220
Practice Country
US
Practice Phone
(716) 710-0142
Enumeration Date
July 20, 2022
Last Updated
July 20, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
July 19, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)