National Provider Identifier
Brian Jackson
Brian Jackson is listed in the NPPES registry with a primary specialty of Registered Nurse in Cheektowaga, NY and a listed phone number of (716) 894-7777.
Profile Overview
- NPI
- 1902341605
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- January 04, 2017
- Last Updated
- January 04, 2017
Practice Location
- 1680 Walden Ave
- Cheektowaga, NY 14225-4914
Phone: (716) 894-7777
Specialties
- Registered Nurse (163W00000X)
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1902341605
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Brian
- Mailing Street Address
- 1680 Walden Ave
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14225-4914
- Mailing Country
- US
- Mailing Phone
- (716) 894-7777
- Practice Street Address
- 1680 Walden Ave
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14225-4914
- Practice Country
- US
- Practice Phone
- (716) 894-7777
- Enumeration Date
- January 04, 2017
- Last Updated
- January 04, 2017
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X), Family Nurse Practitioner (363LF0000X)