Individual
MS. YVONNE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
36 SHREWSBURY DR, LONG BRANCH, NJ 07740-7619
(732) 571-3174
(732) 571-3175
Mailing address
36 SHREWSBURY DR, LONG BRANCH, NJ 07740-7619
(732) 571-3174
(732) 571-3175
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR05690000
NJ
163W00000X
Registered Nurse
Primary
298394
NY
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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