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Kim Rene Jackman
Licensed Practical Nurse in Rockville Centre, New York
NPI 1568795573

Kim Rene Jackman is a Licensed Practical Nurse based in Rockville Centre, NY. Kim Rene Jackman practices in Rockville Centre, NY. The NPI Number for Kim Rene Jackman is 1568795573 and holds a License No. 246730 (New York).

The current practice location address for Kim Rene Jackman is 524 Jefferson Ave, Rockville Centre, NY and can be reached out via phone at 516-255-4699.

Location: 524 Jefferson Ave, Rockville Centre, NY, 11570-3312
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568795573
Provider Name
Kim Rene Jackman
Credential
Provider Entity Type
Individual
Gender
Female
Address
524 Jefferson Ave, Rockville Centre, NY, 11570-3312
Phone Number
516-255-4699
Fax Number
Provider Enumeration Date
09/09/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
246730 05 NY
institution
Provider Business Practice Location Address Details
Address
524 Jefferson Ave
City
Rockville Centre
State
New York
Zip
11570-3312
Phone Number
516-255-4699
Fax Number
person
Provider Business Mailing Address Details
Address
524 Jefferson Ave
City
Rockville Centre
State
New York
Zip
11570-3312
Phone Number
516-255-4699
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
246730 (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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