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Gloria Jackson, LPN
NPI 1356789713 · on the registry since 2013 · sole proprietor
Practice
- Address
- 525 S 9th St
Lindenhurst, NY 11757 - Phone
- (631) 226-3901
- Organisation at this address
- Gloria Jackson
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-06-07
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