Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CORDERO JACKSON, BSN RN
Active Sole ProprietorCORDERO JACKSON, BSN RN is a School Nurse healthcare provider located in NEWARK, New Jersey. NPI 1528576899 is currently active in the NPPES registry. Verify at CMS.
School Nurse · NEWARK, NJ
Registration Details
- NPI Number
- 1528576899
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 19, 2018 (8.5329596795682 yrs)
- Last Updated
- Jan 19, 2018
- License
-
723035 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
624 DR MARTIN LUTHER KING JR BLVD APT 9NEWARK, NJ, 071021254Browse NJ providers · Browse ZIP 07102
- Phone
- 9176578363
- Primary Specialty
-
School Nurse
163WS0200X
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.