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Vanessa Jackson
NPI 1003204678 · on the registry since 2015 · sole proprietor
Practice
- Address
- 2922 Falcon Ave
Far Rockaway, NY 11691 - Phone
- (347) 576-9654
Registry record
- Primary taxonomy
- Adult Care Home Facility
311ZA0620X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-01-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York