National Provider Identifier
Kathleen Jackson
Kathleen Jackson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 578-1826.
Profile Overview
- NPI
- 1508015421
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- September 16, 2008
- Last Updated
- September 16, 2008
Practice Location
- 188 Lovering Ave
- Buffalo, NY 14216-1814
Phone: (716) 578-1826
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1508015421
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Kathleen
- Mailing Street Address
- 188 Lovering Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14216-1814
- Mailing Country
- US
- Mailing Phone
- (716) 578-1826
- Practice Street Address
- 188 Lovering Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14216-1814
- Practice Country
- US
- Practice Phone
- (716) 578-1826
- Enumeration Date
- September 16, 2008
- Last Updated
- September 16, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)