Active NPIIndividual provider

Siew Jackson

Nurse Practitioner, Family in Waldwick, New Jersey

NPI Number1174212336
Practice location
140 Franklin Tpke Ste 6A, Waldwick, NJ 07463-1836
Fax
—
Last updated
March 12, 2024

Siew Jackson is a Nurse Practitioner, Family based in Waldwick, NJ. Siew Jackson practices in Waldwick, NJ. The NPI Number for Siew Jackson is 1174212336 and holds a License No. 26NR13538400 (NJ). The current practice location address for Siew Jackson is 140 Franklin Tpke Ste 6A, Waldwick, NJ 07463-1836 and can be reached out via phone at 201-447-3603.

Provider Profile Details

NPI Number
1174212336
Provider Name
Siew Jackson
Provider Entity Type
Individual
Gender
Female
Address
140 Franklin Tpke Ste 6A, Waldwick, NJ 07463-1836
Phone Number
201-447-3603
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
May 3, 2023
Last Update Date
March 12, 2024
Certification Date
March 12, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
140 Franklin Tpke Ste 6A
Waldwick, NJ 07463-1836
Zip
07463-1836
Phone Number
201-447-3603
Waldwick, NJ 07463Get directions →

Provider Business Mailing Address Details

Address
669 Briarcliff Ave
Maywood, NJ 07607-1401
City
Maywood
State
NJ
Zip
07607-1401
Phone Number
201-240-1703

License Information

License Number (1)
26NR13538400
License State (1)
NJ
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
26NJ14863400
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Siew Jackson?

The NPI number of Siew Jackson is 1174212336. It was assigned on May 3, 2023 and is currently active in the NPPES registry.

What is the specialty of Siew Jackson?

Siew Jackson is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NR13538400.

Where does Siew Jackson practice?

The practice location is 140 Franklin Tpke Ste 6A, Waldwick, NJ 07463-1836. The office can be reached at 201-447-3603 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174212336 directly on the NPPES registry website.

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