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Samantha Jackson, LPN
NPI 1457652489 · on the registry since 2010
Practice
- Address
- 5285 Lewiston Rd
Lewiston, NY 14092 - Phone
- (716) 298-2974
- Fax
- (716) 298-3815
- Organisation at this address
- Olp Snf Opco Llc
Our Lady Of Peace Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 26
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
- 2010-11-08
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