Individual
ARIELLE S JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
244 HEMPSTEAD AVE, BUFFALO, NY 14215-3404
(716) 831-7877
(831) 866-6666
Mailing address
5 SHIRLEY AVE, BUFFALO, NY 14215-1017
(716) 903-0983
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
238459
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
333364
LICENSED PRACTICAL NURSE
NY
Enumeration date
11/15/2018
Last updated
11/21/2025
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