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Organization
NICOLE S JACKSON, FAMILY NP,PC
Active
Organization
NICOLE S JACKSON, FAMILY NP,PC
Active
Other names
nicole s jackson, family np, pc
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE S JACKSON FNP (FNP-OWNER OF PC)
(914) 739-2245
Entity
Organization
Contact information
Practice address
1010 KENDAL WAY, SLEEPY HOLLOW, NY 10591-1055
(914) 922-1027
(914) 922-1158
Mailing address
3 COVENTRY CT, CROTON ON HUDSON, NY 10520-1001
(914) 739-2245
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02733026
—
NY
01
—
1831385848
NPI
NY
Enumeration date
02/13/2008
Last updated
02/27/2008
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