Individual provider · Type 1 NPI
Ruslana Jackson, NP
Adult Health Nurse Practitioner · New York, NY
NPI number
1740515931
Active
Practice location
622 W 168th St Ph 12
New York, NY 10032-3720
Fax (212) 305-8304
Mailing address
622 W 168th St
New York, NY 10032-3720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F305212-1 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1740515931
Ruslana Jackson, NP's National Provider Identifier is 1740515931, issued on Oct 6, 2009. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on May 16, 2023.