Holly Jean Jackson, LPN
NPI #1417351453 in Canandaigua, New York
Provider Information
- NPI Number
- 1417351453
- Entity Type
- Individual
- Name
- Holly Jean Jackson, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Oct 20, 2014
- Last Updated
- Oct 20, 2014
Practice Location
- Address
- 5A LAFAYETTE AVENUE
- City
- Canandaigua
- State
- New York
- ZIP Code
- 14424
- Phone
- (585) 905-1307
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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