National Provider Identifier
Tori Jackson
Tori Jackson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 694-3040.
Profile Overview
- NPI
- 1508675554
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- January 04, 2025
- Last Updated
- January 04, 2025
Practice Location
- 129 Van Stallen St
- Rochester, NY 14621-3563
Phone: (585) 694-3040
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1508675554
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Tori
- Mailing Street Address
- 129 Van Stallen St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3563
- Mailing Country
- US
- Mailing Phone
- (585) 694-3040
- Practice Street Address
- 129 Van Stallen St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3563
- Practice Country
- US
- Practice Phone
- (585) 694-3040
- Enumeration Date
- January 04, 2025
- Last Updated
- January 04, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- January 04, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)