Individual provider · Type 1 NPI

Angela Jackson

Licensed Practical Nurse · Cheektowaga, NY

NPI number 1043636343 Active

Practice location

13 Slate Creek Dr Apt 5
Cheektowaga, NY 14227-2947

Call (716) 536-6757 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X254006 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1043636343

Angela Jackson's National Provider Identifier is 1043636343, issued on Mar 11, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Cheektowaga, NY. The record was last updated on Oct 19, 2016.