Search › New York › 363LA2200X
Ruslana Jackson, NP
NPI 1740515931 · on the registry since 2009
Practice
- Address
- 622 W 168th St Ph 12
New York, NY 10032 - Phone
- (212) 305-4625
- Fax
- (212) 305-8304
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-16
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