Individual provider · Type 1 NPI

Samantha R. Jackson, LPN

Licensed Practical Nurse · Lewiston, NY

NPI number 1457652489 Active

Practice location

5285 Lewiston Rd
Lewiston, NY 14092-1942

Fax (716) 298-3815

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X240065-1 (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 1457652489

Samantha R. Jackson, LPN's National Provider Identifier is 1457652489, issued on Nov 8, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Lewiston, NY. The record was last updated on Nov 8, 2010.