Individual
ALICIA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,DOULA
Contact information
Practice address
191 CAPEN BLVD, AMHERST, NY 14226-3013
(716) 597-2208
Mailing address
191 CAPEN BLVD, AMHERST, NY 14226-3013
(716) 587-2208
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
736029
NY
164W00000X
Licensed Practical Nurse
311702
NY
374J00000X
Doula
—
—
Other
Enumeration date
05/19/2014
Last updated
11/09/2022
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