Individual provider · Type 1 NPI

Angelita Jackson

Licensed Practical Nurse · Montgomery, NY

NPI number 1578078077 Active

Practice location

323 Angelo Dr
Montgomery, NY 12549-1627

Call (914) 980-7802 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X290702 (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 1578078077

Angelita Jackson's National Provider Identifier is 1578078077, issued on Dec 6, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Montgomery, NY. The record was last updated on Dec 6, 2017.