MR. James Augustus Jackson, LPN
NPI #1083434385 in Wheatley Heights, New York
Provider Information
- NPI Number
- 1083434385
- Entity Type
- Individual
- Name
- MR. James Augustus Jackson, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Oct 12, 2024
- Last Updated
- Oct 12, 2024
Practice Location
- Address
- 58 MAIN AVE
- City
- Wheatley Heights
- State
- New York
- ZIP Code
- 11798-1324
- Phone
- (516) 640-9517
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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