National Provider Identifier
Alicia Jackson, RN, DOULA
Alicia Jackson, RN, DOULA is listed in the NPPES registry with a primary specialty of Registered Nurse in Amherst, NY and a listed phone number of (716) 597-2208.
Profile Overview
- NPI
- 1508277955
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- May 19, 2014
- Last Updated
- November 09, 2022
Practice Location
- 191 Capen Blvd
- Amherst, NY 14226-3013
Phone: (716) 597-2208
Specialties
- Registered Nurse (163W00000X)
- Doula (374J00000X)
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1508277955
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Alicia
- Credential
- RN, DOULA
- Mailing Street Address
- 191 Capen Blvd
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14226-3013
- Mailing Country
- US
- Mailing Phone
- (716) 587-2208
- Practice Street Address
- 191 Capen Blvd
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226-3013
- Practice Country
- US
- Practice Phone
- (716) 597-2208
- Enumeration Date
- May 19, 2014
- Last Updated
- November 09, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Taxonomy Group 2
- 193200000X Multi-Specialty Group
- Certification Date
- November 09, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X), Doula (374J00000X), Licensed Practical Nurse (164W00000X)