MRS. Patty S Jackson, LPN
NPI #1811283070 in Ballston Spa, New York
Provider Information
- NPI Number
- 1811283070
- Entity Type
- Individual
- Name
- MRS. Patty S Jackson, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Jun 24, 2011
- Last Updated
- Jun 24, 2011
Practice Location
- Address
- 139 ARROW WOOD PL
- City
- Ballston Spa
- State
- New York
- ZIP Code
- 12020-4709
- Phone
- (518) 899-1234
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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