Individual
CORA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
263 EASTERN PKWY, APT 6J, BROOKLYN, NY 11238-6371
(718) 757-7918
Mailing address
263 EASTERN PKWY, APT 6J, BROOKLYN, NY 11238-6371
(718) 757-7918
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
319515-1
NY
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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