Individual provider · Type 1 NPI
Nikkita Jackson
Medical-Surgical Registered Nurse · Port Chester, NY
NPI number
1023627288
Active
Practice location
454 Westchester Avenue
Port Chester, NY 10573
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical-Surgical Registered Nurse Primary | 163WM0705X | 788484 (NY) |
Medical-Surgical Registered Nurse: Definition to come...
About NPI 1023627288
Nikkita Jackson's National Provider Identifier is 1023627288, issued on Jul 23, 2020. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Port Chester, NY. The record was last updated on Jul 23, 2020.