Individual provider · Type 1 NPI

Stephanie Jackson, LPN

Licensed Practical Nurse · Medford, NY

NPI number 1548601511 Active

Practice location

39 W. Yaphank Rd.
Medford, NY 11763

Call (631) 320-3077 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X264400 (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 1548601511

Stephanie Jackson, LPN's National Provider Identifier is 1548601511, issued on Jul 8, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Medford, NY. The record was last updated on Jul 8, 2013.