National Provider Identifier
Jessica Jackson
Jessica 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) 362-2270.
Profile Overview
- NPI
- 1982151130
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- September 06, 2016
- Last Updated
- September 06, 2016
Practice Location
- 25 Green Knolls Dr Apt D
- Rochester, NY 14620-4777
Phone: (585) 362-2270
Mailing Address
- PO Box 23801
- Rochester, NY 14692-3801
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1982151130
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Jessica
- Mailing Street Address
- PO Box 23801
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14692-3801
- Mailing Country
- US
- Practice Street Address
- 25 Green Knolls Dr Apt D
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-4777
- Practice Country
- US
- Practice Phone
- (585) 362-2270
- Enumeration Date
- September 06, 2016
- Last Updated
- September 06, 2016
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomies
- Licensed Practical Nurse (164W00000X)