National Provider Identifier
Natasha Ann Jackson
Natasha Ann Jackson is listed in the NPPES registry with a primary specialty of Registered Nurse in Rochester, NY and a listed phone number of (585) 865-5378.
Profile Overview
- NPI
- 1912038431
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- March 08, 2007
- Last Updated
- March 04, 2022
Practice Location
- 4 Sunpath Way
- Rochester, NY 14624-2495
Phone: (585) 865-5378
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1912038431
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Natasha
- Middle Name
- Ann
- Provider Other Last Name
- Evans- Singletary
- Provider Other First Name
- Natasha
- Provider Other Middle Name
- Ann
- Provider Other Credential Text
- RN
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 4 Sunpath Way
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14624-2495
- Mailing Country
- US
- Mailing Phone
- (585) 355-0668
- Practice Street Address
- 4 Sunpath Way
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14624-2495
- Practice Country
- US
- Practice Phone
- (585) 865-5378
- Enumeration Date
- March 08, 2007
- Last Updated
- March 04, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- March 04, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)
- Other Identifiers
- 02331217 (NY)