National Provider Identifier
Elisha M Jackson, LPN
Elisha M Jackson, LPN is listed in the NPPES registry with a primary specialty of Registered Nurse in Rochester, NY and a listed phone number of (585) 729-8792.
Source: public NPPES record, last updated December 10, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1477730059
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- January 26, 2008
- Last Updated
- December 10, 2020
Practice Location
- 767 Post Ave
- Apt 16
- Rochester, NY 14619-2309
Phone: (585) 729-8792
Specialties
- Registered Nurse (163W00000X)
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Full Record
- NPI
- 1477730059
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Elisha
- Middle Name
- M
- Credential
- LPN
- Mailing Street Address
- 767 Post Ave
- Mailing Address Line 2
- Apt 16
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14619-2309
- Mailing Country
- US
- Mailing Phone
- (585) 729-8792
- Practice Street Address
- 767 Post Ave
- Practice Address Line 2
- Apt 16
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14619-2309
- Practice Country
- US
- Practice Phone
- (585) 729-8792
- Enumeration Date
- January 26, 2008
- Last Updated
- December 10, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- December 10, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)