Active NPIIndividual provider

Mrs. Edith J Jackson, NP-C

Nurse Practitioner, Adult Health in Clifton, New Jersey

NPI Number1346588183
Practice location
1414 Main Ave, Clifton, NJ 07011-2157
Fax
—
Last updated
September 19, 2018

Edith J. Jackson is a Nurse Practitioner, Adult Health based in Clifton, NJ. Edith J. Jackson practices in Clifton, NJ and has the professional credentials of NP-C. The NPI Number for Edith J. Jackson is 1346588183 and holds a License No. 26NJ00415600 (NJ). The current practice location address for Edith J. Jackson is 1414 Main Ave, Clifton, NJ 07011-2157 and can be reached out via phone at 973-253-6000.

Provider Profile Details

NPI Number
1346588183
Provider Name
Edith J. Jackson
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
1414 Main Ave, Clifton, NJ 07011-2157
Phone Number
973-253-6000
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Other Names
Miss Edith J. Salgado (Former Name)
Provider Enumeration Date
January 29, 2013
Last Update Date
September 19, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
1414 Main Ave
Clifton, NJ 07011-2157
Zip
07011-2157
Phone Number
973-253-6000
Clifton, NJ 07011Get directions →

Provider Business Mailing Address Details

Address
19 Cider Mill RD
Hawthorne, NJ 07506-3001
City
Hawthorne
State
NJ
Zip
07506-3001
Phone Number
973-253-6000
Fax Number
973-253-6009

License Information

License Number
26NJ00415600
License State
NJ
Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X · 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 Mrs. Edith J Jackson, NP-C?

The NPI number of Mrs. Edith J Jackson, NP-C is 1346588183. It was assigned on January 29, 2013 and is currently active in the NPPES registry.

What is the specialty of Mrs. Edith J Jackson, NP-C?

Mrs. Edith J Jackson, NP-C is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in NJ under license number 26NJ00415600.

Where does Mrs. Edith J Jackson, NP-C practice?

The practice location is 1414 Main Ave, Clifton, NJ 07011-2157. The office can be reached at 973-253-6000 (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 1346588183 directly on the NPPES registry website.

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