Individual provider · Type 1 NPI
Jean Z. Jackson, PMHNP-BC, RN
Psychiatric/Mental Health Nurse Practitioner · Hicksville, NY
NPI number
1407530579
Active
Practice location
950 S Oyster Bay Rd
Hicksville, NY 11801-3511
Mailing address
16 Leeds Ln
North Babylon, NY 11703-2902
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 405610 (NY) |
| Registered Nurse | 163W00000X | 326644-1 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1407530579
Jean Z. Jackson, PMHNP-BC, RN's National Provider Identifier is 1407530579, issued on Jun 9, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Hicksville, NY. The record was last updated on Jul 1, 2024.