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Janea Jackson
NPI 1225512585 · on the registry since 2018 · sole proprietor
Practice
- Address
- 74 Smith Ave
Bay Shore, NY 11706 - Phone
- (631) 951-7221
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Also registered as
- 164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-02
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