Individual provider · Type 1 NPI

Victoria Elaine Jackson

Licensed Practical Nurse · Syracuse, NY

NPI number 1992005060 Active

Practice location

1501 Euclid Ave
Syracuse, NY 13224-1940

Call (315) 313-0515 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X10296863 (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 1992005060

Victoria Elaine Jackson's National Provider Identifier is 1992005060, issued on Oct 23, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Syracuse, NY. The record was last updated on Oct 23, 2010.