Individual provider · Type 1 NPI
Sandy A. Jackson
Family Nurse Practitioner · Cuba, NY
NPI number
1043671530
Active
Practice location
14 Center St
Cuba, NY 14727-1002
Mailing address
47 Rochambeau Avenue Ext
Andover, NY 14806-9606
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 340897 (NY) |
| Registered Nurse | 163W00000X | 501034 (NY) |
Family Nurse Practitioner: Definition to come...
4 other providers at this address
Other family nurse practitioner providers in Cuba
About NPI 1043671530
Sandy A. Jackson's National Provider Identifier is 1043671530, issued on Mar 11, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Cuba, NY. The record was last updated on Mar 29, 2017.