Avril Delores Jackson LPN

NPI 1710174040 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1710174040
Gender Female
Enumeration Date 10/01/2007
Last Updated 10/01/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3310 AVE H
APT 2L
BROOKLYN NY, 11210, US
Phone (718) 434-4659
Fax
Business Location
3310 AVE H
APT 2L
BROOKLYN NY, 11210, US
Phone (718) 434-4659
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 2789001
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According to our database, Miss Avril Delores Jackson LPN NPI is 1710174040, taxonomy code is 164W00000X and license number is 2789001, license state is located at New York. Avril Delores Jackson LPN physically located at 3310 Ave H, Brooklyn NY, 11210. NPI Number Avril Delores Jackson LPN has the Individual type.

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1710174040 NPI number is provided on an as is basis without warranty of any kind. 1710174040 is maintained by the National Plan & Provider Enumeration System. The contents of Avril Delores Jackson LPN are for informational purposes only.