National Provider Identifier

Leah Jackson, LPN

Leah 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) 690-1990.

NPI 1689144743Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1689144743
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
December 03, 2018
Last Updated
December 03, 2018

Practice Location

  • 57 Amsden Dr
  • Rochester, NY 14623-5315

Phone: (585) 690-1990

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1689144743
Entity Type
Individual
Last Name
Jackson
First Name
Leah
Credential
LPN
Mailing Street Address
57 Amsden Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14623-5315
Mailing Country
US
Mailing Phone
(585) 690-1990
Practice Street Address
57 Amsden Dr
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14623-5315
Practice Country
US
Practice Phone
(585) 690-1990
Enumeration Date
December 03, 2018
Last Updated
December 03, 2018
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)