National Provider Identifier
Kinomi Sucara Jackson
Kinomi Sucara 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) 284-2946.
Profile Overview
- NPI
- 1831585090
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- April 14, 2015
- Last Updated
- April 14, 2015
Practice Location
- 15 Braddock St
- Rochester, NY 14612-2113
Phone: (585) 284-2946
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1831585090
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Kinomi
- Middle Name
- Sucara
- Mailing Street Address
- 15 Braddock St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14612-2113
- Mailing Country
- US
- Mailing Phone
- (585) 284-2946
- Practice Street Address
- 15 Braddock St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14612-2113
- Practice Country
- US
- Practice Phone
- (585) 284-2946
- Enumeration Date
- April 14, 2015
- Last Updated
- April 14, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)