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Ms. Samantha R. Jackson, LPN
Licensed Practical Nurse in Lewiston, New York
NPI 1457652489

Samantha R. Jackson is a Licensed Practical Nurse based in Lewiston, NY. Samantha R. Jackson practices in Lewiston, NY and has the professional credentials of LPN. The NPI Number for Samantha R. Jackson is 1457652489 and holds a License No. 240065-1 (New York).

The current practice location address for Samantha R. Jackson is 5285 Lewiston Rd, Lewiston, NY and can be reached out via phone at 716-298-2974 and via fax at 716-298-3815. You can also correspond with Samantha R. Jackson through the mailing address at 5285 LEWISTON RD, LEWISTON, NY - 14092-1942 (mailing address contact number: 716-298-2974).

Location: 5285 Lewiston Rd, Lewiston, NY, 14092-1942
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457652489
Provider Name
Samantha R. Jackson
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
5285 Lewiston Rd, Lewiston, NY, 14092-1942
Phone Number
716-298-2974
Fax Number
716-298-3815
Provider Enumeration Date
11/08/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5285 Lewiston Rd
City
Lewiston
State
New York
Zip
14092-1942
Phone Number
716-298-2974
Fax Number
716-298-3815
person
Provider Business Mailing Address Details
Address
5285 Lewiston Rd
City
Lewiston
State
New York
Zip
14092-1942
Phone Number
716-298-2974
Fax Number
716-298-3815
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
240065-1 (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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