Individual provider · Type 1 NPI

Bernice Jackson, NP

Psychiatric/Mental Health Nurse Practitioner · Bay Shore, NY

NPI number 1194493932 Active

Practice location

212 5th Ave
Bay Shore, NY 11706-6408

Mailing address

680 Route 211 E Ste 3B367
Middletown, NY 10941-1757

Other practice locations

  • 680 Route 211 E Ste 3B367, Middletown, NY 10941 · (914) 882-0618

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X310387 (NY)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X405214 (NY)

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

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About NPI 1194493932

Bernice Jackson, NP's National Provider Identifier is 1194493932, issued on Sep 4, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bay Shore, NY. The record was last updated on May 29, 2025.