Individual provider · Type 1 NPI

Andrea Jackson

Licensed Practical Nurse · Freeport, NY

NPI number 1912411133 Active

Practice location

52 Hillside Ave
Freeport, NY 11520-1726

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X258201 (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 1912411133

Andrea Jackson's National Provider Identifier is 1912411133, issued on Nov 27, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Freeport, NY. The record was last updated on Nov 27, 2017.