Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DWIGHT SHELDON JACK, RN
Active Sole ProprietorDWIGHT SHELDON JACK, RN is a General Practice Nurse healthcare provider located in ROSEDALE, New York. NPI 1184883365 is currently active in the NPPES registry. Verify at CMS.
General Practice Nurse · ROSEDALE, NY
Registration Details
- NPI Number
- 1184883365
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 3, 2008 (18.234707195066 yrs)
- Last Updated
- Jun 3, 2008
- License
-
548498 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
24123 148TH AVEROSEDALE, NY, 114223265Browse NY providers · Browse ZIP 11422
- Phone
- 7187231083
- Fax
- 7187231083
- Primary Specialty
-
General Practice Nurse
163WG0000X
Other General Practice Nurse Providers in ROSEDALE, NY
| Name | Credential | NPI |
|---|---|---|
| LOTOYA OAKLEY | — | 1649841263 |
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.