Individual
MRS. RACHEL ALEXA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 MYRTLE AVE, MAHOPAC, NY 10541-4641
(845) 621-6600
(845) 628-0644
Mailing address
149 JACKSON RD, HOPEWELL JCT, NY 12533-8608
(845) 705-3563
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
773251
NY
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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