Individual provider · Type 1 NPI

Eileen Jackson, NP

Family Nurse Practitioner · Commack, NY

NPI number 1124555271 Active

Practice location

650 Commack Rd
Commack, NY 11725-5404

Mailing address

255 Mckinley Ter
Centerport, NY 11721-1311

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X341567 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1124555271

Eileen Jackson, NP's National Provider Identifier is 1124555271, issued on May 20, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Commack, NY. The record was last updated on May 20, 2017.