Individual
ASHLEY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
180 WINTERROTH ST, ROCHESTER, NY 14609-4036
(585) 957-6007
(585) 957-6007
Mailing address
180 WINTERROTH ST, ROCHESTER, NY 14609-4036
(585) 957-6007
(585) 957-6007
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
350544-01
NY
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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