National Provider Identifier
Michele N Jackson
Michele N 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) 629-7966.
Profile Overview
- NPI
- 1568322329
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- November 14, 2025
- Last Updated
- November 14, 2025
Practice Location
- 390 South Ave Apt 405
- Rochester, NY 14620-1060
Phone: (585) 629-7966
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1568322329
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Michele
- Middle Name
- N
- Mailing Street Address
- 390 South Ave Apt 405
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-1060
- Mailing Country
- US
- Mailing Phone
- (585) 629-7966
- Practice Street Address
- 390 South Ave Apt 405
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-1060
- Practice Country
- US
- Practice Phone
- (585) 629-7966
- Enumeration Date
- November 14, 2025
- Last Updated
- November 14, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 14, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)