Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ELENA PATRICIA JACKSON, PT
Active Sole ProprietorMRS. ELENA PATRICIA JACKSON, PT is a Community Health Worker healthcare provider located in LANOKA HARBOR, New Jersey. NPI 1619131414 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · LANOKA HARBOR, NJ
Registration Details
- NPI Number
- 1619131414
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 11, 2008 (18.133754621353 yrs)
- Last Updated
- Jul 11, 2008
- License
-
40QA00951400 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
703 ANGELIQUE CTLANOKA HARBOR, NJ, 087342231Browse NJ providers · Browse ZIP 08734
- Phone
- 6099715348
- Fax
- 6099710827
- Primary Specialty
-
Community Health Worker
172V00000X
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.