Individual provider · Type 1 NPI

Kerita Jackson, FNP

Family Nurse Practitioner · Jamaica, NY

NPI number 1497405443 Active

Practice location

97-04 Sutphin Boulevard
Jamaica, NY 11435-4721

Call (718) 657-7088 Map

Fax (718) 657-7092

Mailing address

60 Madison Avenue, 5th Floor
New York, NY 10010-1600

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF349347 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1497405443

Kerita Jackson, FNP's National Provider Identifier is 1497405443, issued on Mar 24, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jamaica, NY. The record was last updated on Mar 24, 2022.