Search › New York › 164W00000X
Kay Jackson, LPN
NPI 1992933477 · on the registry since 2009 · sole proprietor
Practice
- Address
- 30 Montgomery Ave
Mastic, NY 11950 - Phone
- (631) 433-2540
- 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
- Female
- Record last updated
- 2009-06-23
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