Individual provider · Type 1 NPI

Stephanie Jackson

Psychiatric/Mental Health Registered Nurse · Albany, NY

NPI number 1508182429 Active

Practice location

75 New Scotland Ave
Albany, NY 12208-3409

Call (518) 447-9611 Map

Fax (518) 426-2902

Mailing address

65 Clipp Rd
Delmar, NY 12054-5300

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Registered Nurse Primary	163WP0808X	243144-1 (NY)

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

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About NPI 1508182429

Stephanie Jackson's National Provider Identifier is 1508182429, issued on Apr 16, 2010. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Albany, NY. The record was last updated on Apr 16, 2010.