Active NPIIndividual providerSole proprietor

Ms. Petrina M Jackson, LPN

Licensed Practical Nurse in Yonkers, New York

NPI Number1386881126
Practice location
201 N Broadway Apt 3N, Yonkers, NY 10701-2608
Fax
914-751-7562
Last updated
January 15, 2009

Petrina M Jackson is a Licensed Practical Nurse based in Yonkers, NY. Petrina M Jackson practices in Yonkers, NY and has the professional credentials of LPN. The NPI Number for Petrina M Jackson is 1386881126 and holds a License No. 292190 (NY). The current practice location address for Petrina M Jackson is 201 N Broadway Apt 3N, Yonkers, NY 10701-2608 and can be reached out via phone at 917-828-2233 and via fax at 914-751-7562.

Provider Profile Details

NPI Number
1386881126
Provider Name
Petrina M Jackson
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
201 N Broadway Apt 3N, Yonkers, NY 10701-2608
Phone Number
917-828-2233
Fax Number
914-751-7562
Primary Taxonomy
Licensed Practical Nurse · 164W00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 15, 2009
Last Update Date
January 15, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 N Broadway Apt 3N
Yonkers, NY 10701-2608
Zip
10701-2608
Phone Number
917-828-2233
Fax Number
914-751-7562
Yonkers, NY 10701Get directions →

Provider Business Mailing Address Details

Address
201 N Broadway Apt 3N
Yonkers, NY 10701-2608
City
Yonkers
State
NY
Zip
10701-2608
Phone Number
917-828-2233
Fax Number
914-751-7562

License Information

License Number
292190
License State
NY
Taxonomy
Licensed Practical Nurse · 164W00000X · 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 Ms. Petrina M Jackson, LPN?

The NPI number of Ms. Petrina M Jackson, LPN is 1386881126. It was assigned on January 15, 2009 and is currently active in the NPPES registry.

What is the specialty of Ms. Petrina M Jackson, LPN?

Ms. Petrina M Jackson, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in NY under license number 292190.

Where does Ms. Petrina M Jackson, LPN practice?

The practice location is 201 N Broadway Apt 3N, Yonkers, NY 10701-2608. The office can be reached at 917-828-2233 (phone) or 914-751-7562 (fax).

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 1386881126 directly on the NPPES registry website.

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