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Holly Jean Jackson, LPN
Licensed Practical Nurse in Canandaigua, New York
NPI 1417351453

Holly Jean Jackson is a Licensed Practical Nurse based in Canandaigua, NY. Holly Jean Jackson practices in Canandaigua, NY and has the professional credentials of LPN. The NPI Number for Holly Jean Jackson is 1417351453 and holds a License No. 308910 (New York).

The current practice location address for Holly Jean Jackson is 5A Lafayette Avenue, Canandaigua, NY and can be reached out via phone at 585-905-1307.

Location: 5A Lafayette Avenue, Canandaigua, NY, 14424
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417351453
Provider Name
Holly Jean Jackson
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
5A Lafayette Avenue, Canandaigua, NY, 14424
Phone Number
585-905-1307
Fax Number
Provider Enumeration Date
10/20/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5A Lafayette Avenue
City
Canandaigua
State
New York
Zip
14424
Phone Number
585-905-1307
Fax Number
person
Provider Business Mailing Address Details
Address
5A Lafayette Avenue
City
Canandaigua
State
New York
Zip
14424
Phone Number
585-905-1307
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
308910 (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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