Individual provider · Type 1 NPI

Seolar L. Jackson, PMNP-BC

Psychiatric/Mental Health Nurse Practitioner · Buffalo, NY

NPI number 1043698384 Active

Practice location

768 Delaware Ave
Buffalo, NY 14209-2006

Fax (716) 886-4002

Mailing address

2605 Sweet Home Rd
Amherst, NY 14228-2129

Other practice locations

  • 69 Delaware Ave, Suite 1200, Buffalo, NY 14202-3812 · (716) 852-5900
  • 3350 Main St, Buffalo, NY 14214-1316 · (716) 835-4011

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X621214 (NY)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X403929 (NY)

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

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About NPI 1043698384

Seolar L. Jackson, PMNP-BC's National Provider Identifier is 1043698384, issued on May 7, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Buffalo, NY. The record was last updated on Nov 9, 2022.