Individual provider · Type 1 NPI

Serida Marie Jackson, LPN

Licensed Practical Nurse · Valley Stream, NY

NPI number 1154841120 Active

Practice location

106 Countisbury Ave
Valley Stream, NY 11580-1748

Call (516) 270-0943 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X328081 (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 1154841120

Serida Marie Jackson, LPN's National Provider Identifier is 1154841120, issued on Jun 21, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Valley Stream, NY. The record was last updated on Jul 21, 2022.