National Provider Identifier

Quiana Jackson

Quiana 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) 305-1784.

NPI 1801243928Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1801243928
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 18, 2016
Last Updated
May 18, 2016

Practice Location

  • 15 Berry St
  • Rochester, NY 14609-7119

Phone: (585) 305-1784

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1801243928
Entity Type
Individual
Last Name
Jackson
First Name
Quiana
Mailing Street Address
15 Berry St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-7119
Mailing Country
US
Mailing Phone
(585) 305-1784
Practice Street Address
15 Berry St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-7119
Practice Country
US
Practice Phone
(585) 305-1784
Enumeration Date
May 18, 2016
Last Updated
May 18, 2016
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)