Active NPIIndividual provider

Alesia Jacks

Registered Nurse, Addiction (Substance Use Disorder) in Valley Cottage, New York

NPI Number1477117869
Practice location
706 Executive Blvd, Valley Cottage, NY 10989-2038
Fax
—
Last updated
May 1, 2019

Alesia Jacks is a Registered Nurse, Addiction (Substance Use Disorder) based in Valley Cottage, NY. Alesia Jacks practices in Valley Cottage, NY. The NPI Number for Alesia Jacks is 1477117869 and holds a License No. 684889 (NY). The current practice location address for Alesia Jacks is 706 Executive Blvd, Valley Cottage, NY 10989-2038 and can be reached out via phone at 845-362-3904.

Provider Profile Details

NPI Number
1477117869
Provider Name
Alesia Jacks
Provider Entity Type
Individual
Gender
Female
Address
706 Executive Blvd, Valley Cottage, NY 10989-2038
Phone Number
845-362-3904
Sole Proprietor
No
Provider Enumeration Date
May 1, 2019
Last Update Date
May 1, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
706 Executive Blvd
Valley Cottage, NY 10989-2038
Zip
10989-2038
Phone Number
845-362-3904
Valley Cottage, NY 10989Get directions →

Provider Business Mailing Address Details

Address
706 Executive Blvd
Valley Cottage, NY 10989-2038
City
Valley Cottage
State
NY
Zip
10989-2038

License Information

License Number
684889
License State
NY

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 Alesia Jacks?

The NPI number of Alesia Jacks is 1477117869. It was assigned on May 1, 2019 and is currently active in the NPPES registry.

What is the specialty of Alesia Jacks?

Alesia Jacks is registered under the primary taxonomy Registered Nurse, Addiction (Substance Use Disorder) (code 163WA0400X), licensed in NY under license number 684889.

Where does Alesia Jacks practice?

The practice location is 706 Executive Blvd, Valley Cottage, NY 10989-2038. The office can be reached at 845-362-3904 (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 1477117869 directly on the NPPES registry website.

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