National Provider Identifier
Jeanine Jackson, LPN
Jeanine Jackson, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 953-5091.
Profile Overview
- NPI
- 1972113223
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- August 03, 2020
- Last Updated
- August 03, 2020
Practice Location
- 65 Baxter Dr
- Rochester, NY 14626-2137
Phone: (585) 953-5091
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1972113223
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Jeanine
- Credential
- LPN
- Mailing Street Address
- 65 Baxter Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-2137
- Mailing Country
- US
- Mailing Phone
- (585) 953-5091
- Practice Street Address
- 65 Baxter Dr
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-2137
- Practice Country
- US
- Practice Phone
- (585) 953-5091
- Enumeration Date
- August 03, 2020
- Last Updated
- August 03, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 03, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)