Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VANESSA JACKSON
Active Sole ProprietorVANESSA JACKSON is a Assisted Living Facility healthcare provider located in FAR ROCKAWAY, New York. NPI 1003204678 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · FAR ROCKAWAY, NY
Registration Details
- NPI Number
- 1003204678
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 5, 2015 (11.628612316138 yrs)
- Last Updated
- Jan 5, 2015
- License
-
320584 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2922 FALCON AVEFAR ROCKAWAY, NY, 116911845Browse NY providers · Browse ZIP 11691
- Phone
- 3475769654
- Primary Specialty
-
Assisted Living Facility
311ZA0620X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.