Organization
JACKSONS HEALTH FAMILY HEALTH NP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARNEL JACKSON FNP (OWNER)
(585) 340-6940
Entity
Organization
Contact information
Practice address
1655 ELMWOOD AVE STE 125, ROCHESTER, NY 14620-3428
(585) 340-6940
Mailing address
978 CLINTON AVE S, ROCHESTER, NY 14620-2040
(585) 576-1001
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
09/08/2024
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