Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. COLLEEN M JACKSON, EDD
Active Sole ProprietorDR. COLLEEN M JACKSON, EDD is a Licensed Practical Nurse healthcare provider located in SYRACUSE, New York. NPI 1043002553 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · SYRACUSE, NY
Registration Details
- NPI Number
- 1043002553
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 20, 2025 (1.0528606179254 yrs)
- Last Updated
- May 20, 2025
- Licenses
-
CASAC-38078 (NY)199332 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
153 WOODBURY AVESYRACUSE, NY, 132061935Browse NY providers · Browse ZIP 13206
- Phone
- 3152544884
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
- Additional Specialty
- Licensed Practical Nurse
Other Licensed Practical Nurse Providers in SYRACUSE, NY
| Name | Credential | NPI |
|---|---|---|
| MS. PATRICIA ANN WENTZEL | L.P.N. | 1346340999 |
| NOELLE BRENNAN | LPN | 1871662072 |
| MS. MARY E. WILMOT | LPN | 1053481721 |
| SHARON L JOHN | LPN | 1699849257 |
| MS. NICOLE CHRISTINE CLARK | LPN | 1982767604 |
| TRACI ANN MOWRY | LPN | 1700919198 |
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.