Ms Rosa Lee Jackson, LPN | |
547 Summit Ave, Baldwin, NY 11510-3725 | |
(516) 546-2674 | |
Not Available |
Full Name | Ms Rosa Lee Jackson |
---|---|
Gender | Female |
Speciality | Licensed Vocational Nurse |
Location | 547 Summit Ave, Baldwin, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700034287 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164X00000X | Licensed Vocational Nurse | 200042 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ms Rosa Lee Jackson, LPN 547 Summit Ave, Baldwin, NY 11510-3725 Ph: (516) 546-2674 | Ms Rosa Lee Jackson, LPN 547 Summit Ave, Baldwin, NY 11510-3725 Ph: (516) 546-2674 |
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