Individual provider · Type 1 NPI
Dwight Sheldon Jack, RN
General Practice Registered Nurse · Rosedale, NY
NPI number
1184883365
Active
Practice location
24123 148th Ave
Rosedale, NY 11422-3265
Fax (718) 723-1083
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 548498 (NY) |
General Practice Registered Nurse: Definition to come...
Another provider at this address
Other general practice registered nurse providers in Rosedale
About NPI 1184883365
Dwight Sheldon Jack, RN's National Provider Identifier is 1184883365, issued on Jun 3, 2008. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Rosedale, NY. The record was last updated on Jun 3, 2008.