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MRS. JANICE ELAINE JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1135 HOFFMAN STREET, ELMIRA, NY 14905
(804) 307-7111
Mailing address
1135 HOFFMAN STREET, ELMIRA, NY 14905
(804) 307-7111

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
497502-1
NY

Other

Enumeration date
05/06/2009
Last updated
05/06/2009
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