Individual
MONIQUE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
89 BARTLETT ST, BROOKLYN, NY 11206-4463
(718) 828-2666
(718) 782-1538
Mailing address
89 BARTLETT ST, BROOKLYN, NY 11206-4463
(718) 828-2666
(718) 782-1538
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
731646-1
NY
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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