Individual
MS. ROXANN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
355 W PLEASANTVIEW AVE APT 410, HACKENSACK, NJ 07601-1052
(954) 479-9657
Mailing address
355 W PLEASANTVIEW AVE APT 410, HACKENSACK, NJ 07601-1052
(954) 479-9657
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
344293
NY
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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