National Provider Identifier

Ashley Jackson

Ashley 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) 957-6007.

NPI 1902698699Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1902698699
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 20, 2025
Last Updated
May 20, 2025

Practice Location

  • 180 Winterroth St
  • Rochester, NY 14609-4036

Phone: (585) 957-6007

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1902698699
Entity Type
Individual
Last Name
Jackson
First Name
Ashley
Mailing Street Address
180 Winterroth St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-4036
Mailing Country
US
Mailing Phone
(585) 957-6007
Mailing Fax
(585) 957-6007
Practice Street Address
180 Winterroth St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-4036
Practice Country
US
Practice Phone
(585) 957-6007
Practice Fax
(585) 957-6007
Enumeration Date
May 20, 2025
Last Updated
May 20, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
May 20, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)