Individual provider · Type 1 NPI

Jill Jackson, LPN

Licensed Practical Nurse · Staten Island, NY

NPI number 1730559535 Active

Practice location

265 Kissel Ave
Staten Island, NY 10310-1623

Call (718) 490-4946 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X322734-1 (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 1730559535

Jill Jackson, LPN's National Provider Identifier is 1730559535, issued on Oct 6, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Staten Island, NY. The record was last updated on Oct 6, 2015.