Individual provider · Type 1 NPI

Holly Jean Jackson, LPN

Licensed Practical Nurse · Canandaigua, NY

NPI number 1417351453 Active

Practice location

5A Lafayette Avenue
Canandaigua, NY 14424

Call (585) 905-1307 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X308910 (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 1417351453

Holly Jean Jackson, LPN's National Provider Identifier is 1417351453, issued on Oct 20, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Canandaigua, NY. The record was last updated on Oct 20, 2014.