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Patrice Jackson, NP
Adult Health Nurse Practitioner in New Hyde Park, New York
NPI 1194328872

Patrice Jackson is an Adult Health Nurse Practitioner based in New Hyde Park, NY and is specialized in Adult Health. Patrice Jackson practices in New Hyde Park, NY and has the professional credentials of NP. The NPI Number for Patrice Jackson is 1194328872 and holds a License No. 310015 (New York).

The current practice location address for Patrice Jackson is 1985 Marcus Ave, New Hyde Park, NY and can be reached out via phone at 473-789-8983.

Location: 1985 Marcus Ave, New Hyde Park, NY, 11042-2008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194328872
Provider Name
Patrice Jackson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1985 Marcus Ave, New Hyde Park, NY, 11042-2008
Phone Number
473-789-8983
Fax Number
Provider Enumeration Date
11/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1985 Marcus Ave
City
New Hyde Park
State
New York
Zip
11042-2008
Phone Number
473-789-8983
Fax Number
person
Provider Business Mailing Address Details
Address
1985 Marcus Ave
City
New Hyde Park
State
New York
Zip
11042-2008
Phone Number
473-789-8983
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
310015 (New York)
Definition
Definition to come...
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