National Provider Identifier

Vanessa Jackson, LPN

Vanessa Jackson, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 647-2576.

NPI 1659666782Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1659666782
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
June 16, 2011
Last Updated
June 16, 2011

Practice Location

  • 953 Dewey Ave
  • Rochester, NY 14613-1640

Phone: (585) 647-2576

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1659666782
Entity Type
Individual
Last Name
Jackson
First Name
Vanessa
Name Prefix
Miss
Credential
LPN
Mailing Street Address
953 Dewey Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14613-1640
Mailing Country
US
Mailing Phone
(585) 647-2576
Practice Street Address
953 Dewey Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14613-1640
Practice Country
US
Practice Phone
(585) 647-2576
Enumeration Date
June 16, 2011
Last Updated
June 16, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)