Individual provider · Type 1 NPI

Keyna Jackson

Licensed Practical Nurse · Buffalo, NY

NPI number 1679713655 Active

Practice location

625 Delaware Ave, Suite 150
Buffalo, NY 14202-1009

Call (716) 884-1001 Map

Fax (716) 884-1827

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X281986-1 (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 1679713655

Keyna Jackson's National Provider Identifier is 1679713655, issued on Mar 3, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Buffalo, NY. The record was last updated on Mar 3, 2009.