Individual provider · Type 1 NPI

Lymarilys Jackson, PMHNP

Psychiatric/Mental Health Nurse Practitioner · New York, NY

NPI number 1033389648 Active · reactivated Jul 30, 2026

Practice location

315 Madison Ave Rm 2000
New York, NY 10017-5416

Mailing address

35 Boca Pl
East Amherst, NY 14051-1080

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X408635 (NY)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1033389648

Lymarilys Jackson, PMHNP's National Provider Identifier is 1033389648, issued on Mar 11, 2008. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New York, NY. The record was last updated on Sep 15, 2026.