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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SANDY A JACKSON

Active Sole Proprietor

SANDY A JACKSON is a Family Nurse Practitioner healthcare provider located in CUBA, New York. NPI 1043671530 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · CUBA, NY

Registration Details

NPI Number
1043671530
Provider Type
Individual
Gender
Female
NPI Issued
Mar 11, 2016 (10.385261968809 yrs)
Last Updated
Mar 29, 2017
Licenses
340897 (NY)
501034 (NY)
Sole Proprietor
Yes

Practice Information

Address
14 CENTER ST
CUBA, NY, 147271002
Browse NY providers · Browse ZIP 14727
Phone
5859683210
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Registered Nurse

Other Family Nurse Practitioner Providers in CUBA, NY

Name Credential NPI
RUTH A BREWER CRNP 1790933901
MR. BRAD PECHERZEWSKI N.P. 1487096384
SHAYLA TATHAM 1407549066
JULIE WHITCHER FNP-C 1194533091
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.