Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. ROSA LEE JACKSON, LPN
Active Sole ProprietorMS. ROSA LEE JACKSON, LPN is a Licensed Vocational Nurse healthcare provider located in BALDWIN, New York. NPI 1700034287 is currently active in the NPPES registry. Verify at CMS.
Licensed Vocational Nurse · BALDWIN, NY
Registration Details
- NPI Number
- 1700034287
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 9, 2008 (17.973586638765 yrs)
- Last Updated
- Sep 9, 2008
- License
-
200042 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
547 SUMMIT AVEBALDWIN, NY, 115103725Browse NY providers · Browse ZIP 11510
- Phone
- 5165462674
- Primary Specialty
-
Licensed Vocational Nurse
164X00000X
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.