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
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 258201 (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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- Novelette Pennant, LPNLicensed Practical Nurse Freeport, NY NPI 1063736387
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- Jasmine Livingston-StillLicensed Practical Nurse Freeport, NY NPI 1093481061
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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.