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

ANGELITA JACKSON

Active Sole Proprietor

ANGELITA JACKSON is a Licensed Practical Nurse healthcare provider located in MONTGOMERY, New York. NPI 1578078077 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · MONTGOMERY, NY

Registration Details

NPI Number
1578078077
Provider Type
Individual
Gender
Female
NPI Issued
Dec 6, 2017 (8.6808324099867 yrs)
Last Updated
Dec 6, 2017
License
290702 (NY)
Sole Proprietor
Yes

Practice Information

Address
323 ANGELO DR
MONTGOMERY, NY, 125491627
Browse NY providers · Browse ZIP 12549
Phone
9149807802
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in MONTGOMERY, NY

Name Credential NPI
MRS. MILLICENT EVADNE MORGAN LPN 1932390408
LESIA ANN-MARIE COPPIN 1306111471
LINDA LEAHY 1992040125
PIERRE JANVIER 1265859862
STEPHANIE KAUFMANN 1558758656
COURTNEY ELIZABETH SEAH 1356728802
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.