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

HOLLY JEAN JACKSON, LPN

Active Sole Proprietor

HOLLY JEAN JACKSON, LPN is a Licensed Practical Nurse healthcare provider located in CANANDAIGUA, New York. NPI 1417351453 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · CANANDAIGUA, NY

Registration Details

NPI Number
1417351453
Provider Type
Individual
Gender
Female
NPI Issued
Oct 20, 2014 (11.63259520279 yrs)
Last Updated
Oct 20, 2014
License
308910 (NY)
Sole Proprietor
Yes

Practice Information

Address
5A LAFAYETTE AVENUE
CANANDAIGUA, NY, 14424
Browse NY providers · Browse ZIP 14424
Phone
5859051307
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in CANANDAIGUA, NY

Name Credential NPI
TAMARA A. TAUSCHER LPN 1669544920
MRS. KELLY L ELDREDGE 1760541619
DANIEL EDWARD VANNORMAN LPN 1366592644
SUSAN HERENDEEN LPN 1770707317
MISS ROSEMARIE LORIA LPN 1619192390
MR. RONALD PAUL TRISCHLER 1568673515
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.