SearchNew YorkLicensed Practical Nurse

Stephanie Jackson, LPN

NPI 1548601511 · on the registry since 2013 · sole proprietor

Practice

Address
39 W. Yaphank Rd.
Medford, NY 11763
Phone
(631) 320-3077
Clinicians at this address
2

Registry record

Primary taxonomy
Licensed Practical Nurse
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-07-08

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