Individual
EVELYN ANITA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 FOREST AVE, BUFFALO, NY 14213-1207
(716) 816-2444
Mailing address
619 LISBON AVE, BUFFALO, NY 14215-1213
(716) 544-7792
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
459958
NY
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
450058
NY
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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