Individual provider · Type 1 NPI
Stevon Collinsworth Jackson, LICENSED PRACTICAL N
Licensed Practical Nurse · Yonkers, NY
NPI number
1821256926
Active
Practice location
101 Highland Avenue, Apt 2N
Yonkers, NY 10705
Fax (914) 966-1094
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 2862591 (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 1821256926
Stevon Collinsworth Jackson, LICENSED PRACTICAL N's National Provider Identifier is 1821256926, issued on May 27, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Yonkers, NY. The record was last updated on May 27, 2008.