Kay Lyn Jackson, LPN

NPI #1992933477 in Mastic, New York

Provider Information

NPI Number
1992933477
Entity Type
Individual
Name
Kay Lyn Jackson, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Jun 23, 2009
Last Updated
Jun 23, 2009

Practice Location

Address
30 MONTGOMERY AVE
City
Mastic
ZIP Code
11950-2606
Phone
(631) 433-2540

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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