Gloria Jackson, LPN
NPI #1356789713 in Lindenhurst, New York
Provider Information
- NPI Number
- 1356789713
- Entity Type
- Individual
- Name
- Gloria Jackson, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Jun 7, 2013
- Last Updated
- Jun 7, 2013
Practice Location
- Address
- 525 S 9TH ST
- City
- Lindenhurst
- State
- New York
- ZIP Code
- 11757-4529
- Phone
- (631) 226-3901
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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