Andrea Jackson
NPI #1912411133 in Freeport, New York
Provider Information
- NPI Number
- 1912411133
- Entity Type
- Individual
- Name
- Andrea Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Nov 27, 2017
- Last Updated
- Nov 27, 2017
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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