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Ms. Serida Marie Jackson, LPN
Licensed Practical Nurse in Valley Stream, New York
NPI 1154841120

Serida Marie Jackson is a Licensed Practical Nurse based in Valley Stream, NY. Serida Marie Jackson practices in Valley Stream, NY and has the professional credentials of LPN. The NPI Number for Serida Marie Jackson is 1154841120 and holds a License No. 328081 (New York).

The current practice location address for Serida Marie Jackson is 106 Countisbury Ave, Valley Stream, NY and can be reached out via phone at 516-270-0943.

Location: 106 Countisbury Ave, Valley Stream, NY, 11580-1748
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154841120
Provider Name
Serida Marie Jackson
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
106 Countisbury Ave, Valley Stream, NY, 11580-1748
Phone Number
516-270-0943
Fax Number
Provider Enumeration Date
06/21/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
124742419 05 NY
institution
Provider Business Practice Location Address Details
Address
106 Countisbury Ave
City
Valley Stream
State
New York
Zip
11580-1748
Phone Number
516-270-0943
Fax Number
person
Provider Business Mailing Address Details
Address
106 Countisbury Ave
City
Valley Stream
State
New York
Zip
11580-1748
Phone Number
516-270-0943
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
328081 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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