Individual provider · Type 1 NPI
Susan M. Jackson, FNP
Nurse Practitioner · Utica, NY
Practice location
1450 Champlin Ave
Utica, NY 13502-3662
Fax (315) 624-9003
Mailing address
PO Box 8155
Utica, NY 13505
Other practice locations
- 1703 Genesee St, Utica, NY 13501 · (315) 736-0155
- 2305 Genesee St, Utica, NY 13501-6107 · (315) 624-9000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 264949 (NY) |
| Nurse Practitioner Primary | 363L00000X | 332294 (NY) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
10 other providers at this address
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- Anwar Wassel, MDPulmonary Disease Physician Utica, NY NPI 1376707521
- Casey Lynn Kilborne, FNP-CPrimary Care Nurse Practitioner Utica, NY NPI 1225656648
- Daniel Lewis Zeidner, MDPediatrics Physician Utica, NY NPI 1578628160
- Diane M. Scalise, NPNurse Practitioner Utica, NY NPI 1790776268
- Donalt MutimuraNurse Practitioner Utica, NY NPI 1831919299
- Marjorie Naples, RDRegistered Dietitian Utica, NY NPI 1174036867
- Yekaterina A. Kashtanova, MDNephrology Physician Utica, NY NPI 1669692638
Other nurse practitioner providers in Utica
- Catherine M. VannicolaNurse Practitioner Utica, NY NPI 1013647437
- Theresa HagansNurse Practitioner Utica, NY NPI 1063996890
- Kayla Lynn Miller, FNP-CNurse Practitioner Utica, NY NPI 1083275564
- Jordan Celine DaviesNurse Practitioner Utica, NY NPI 1083471965
- Carol Lareau, FNPNurse Practitioner Utica, NY NPI 1205922523
- Dijana Ahmetasevic, FNPNurse Practitioner Utica, NY NPI 1265110506
- Megan Elizabeth Mahardy, FNPNurse Practitioner Utica, NY NPI 1316602469
- Peter R. Dellerba, N.P.Nurse Practitioner Utica, NY NPI 1457431066
About NPI 1699889949
Susan M. Jackson, FNP's National Provider Identifier is 1699889949, issued on Aug 17, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Utica, NY. The record was last updated on Mar 9, 2020.