Individual provider · Type 1 NPI

Ebony Marie Jackson, LPN

Licensed Practical Nurse · Rochester, NY

NPI number 1699094326 Active

Practice location

39 Dunbar St
Rochester, NY 14619-2142

Call (585) 789-0302 Map

Fax (585) 341-2365

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X299869-1 (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 1699094326

Ebony Marie Jackson, LPN's National Provider Identifier is 1699094326, issued on May 20, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rochester, NY. The record was last updated on May 20, 2010.