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Nikkita Jackson
Medical-Surgical Registered Nurse in Port Chester, New York
NPI 1023627288

Nikkita Jackson is a Medical-Surgical Registered Nurse based in Port Chester, NY and is specialized in Medical-Surgical. Nikkita Jackson practices in Port Chester, NY. The NPI Number for Nikkita Jackson is 1023627288 and holds a License No. 788484 (New York).

The current practice location address for Nikkita Jackson is 454 Westchester Avenue, Port Chester, NY and can be reached out via phone at 914-351-0650.

Location: 454 Westchester Avenue, Port Chester, NY, 10573
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023627288
Provider Name
Nikkita Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
454 Westchester Avenue, Port Chester, NY, 10573
Phone Number
914-351-0650
Fax Number
Provider Enumeration Date
07/23/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
131740445 01 NY N/A
institution
Provider Business Practice Location Address Details
Address
454 Westchester Avenue
City
Port Chester
State
New York
Zip
10573
Phone Number
914-351-0650
Fax Number
person
Provider Business Mailing Address Details
Address
454 Westchester Avenue
City
Port Chester
State
New York
Zip
10573
Phone Number
914-351-0650
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Medical-Surgical
Taxonomy
163WM0705X
License No.
788484 (New York)
Definition
Definition to come...
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