National Provider Identifier

Joyce Jackson

Joyce Jackson is listed in the NPPES registry with a primary specialty of School Registered Nurse in Marion, NY and a listed phone number of (315) 524-1084.

NPI 1477967529Marion, NYSchool Registered Nurse

Profile Overview

NPI
1477967529
Provider Type
Individual
Primary Specialty
School Registered Nurse
Enumeration Date
June 17, 2014
Last Updated
June 17, 2014

Practice Location

  • 4375 Eddy Ridge RD
  • Marion, NY 14505-9333

Phone: (315) 524-1084

Specialties

  • School Registered Nurse (163WS0200X)
Full Record
NPI
1477967529
Entity Type
Individual
Last Name
Jackson
First Name
Joyce
Mailing Street Address
4375 Eddy Ridge RD
Mailing City
Marion
Mailing State
NY
Mailing ZIP Code
14505-9333
Mailing Country
US
Mailing Phone
(315) 524-1084
Mailing Fax
(315) 524-1119
Practice Street Address
4375 Eddy Ridge RD
Practice City
Marion
Practice State
NY
Practice ZIP Code
14505-9333
Practice Country
US
Practice Phone
(315) 524-1084
Practice Fax
(315) 524-1119
Enumeration Date
June 17, 2014
Last Updated
June 17, 2014
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
School Registered Nurse (163WS0200X)