Stephanie Chanelle Jackson, LPN

NPI #1215716055 in Albany, New York

Provider Information

NPI Number
1215716055
Entity Type
Individual
Name
Stephanie Chanelle Jackson, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Sep 21, 2023
Last Updated
Sep 21, 2023

Practice Location

Address
59 MILLER AVE APT 1
City
Albany
ZIP Code
12203-2940
Phone
(518) 815-8792

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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