Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JESSICA BERDETTE JACKSON, LPN
Active Sole ProprietorMRS. JESSICA BERDETTE JACKSON, LPN is a Licensed Practical Nurse healthcare provider located in CANDOR, New York. NPI 1205335916 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · CANDOR, NY
Registration Details
- NPI Number
- 1205335916
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 8, 2018 (8.5142491767599 yrs)
- Last Updated
- Feb 8, 2018
- License
-
298757 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
376 OWEGO RDCANDOR, NY, 137431645Browse NY providers · Browse ZIP 13743
- Phone
- 6073726591
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in CANDOR, NY
| Name | Credential | NPI |
|---|---|---|
| SARA LEE TENNANT | LPN | 1952716243 |
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.