Search › New York › 164W00000X
Stevon Jackson, LICENSED PRACTICAL N
NPI 1821256926 · on the registry since 2008
Practice
- Address
- 101 Highland Avenue
Apt 2n
Yonkers, NY 10705 - Phone
- (914) 966-1094
- Fax
- (914) 966-1094
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-05-27
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