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Angelita Jackson
Licensed Practical Nurse in Montgomery, New York
NPI 1578078077

Angelita Jackson is a Licensed Practical Nurse based in Montgomery, NY. Angelita Jackson practices in Montgomery, NY. The NPI Number for Angelita Jackson is 1578078077 and holds a License No. 290702 (New York).

The current practice location address for Angelita Jackson is 323 Angelo Dr, Montgomery, NY and can be reached out via phone at 914-980-7802.

Location: 323 Angelo Dr, Montgomery, NY, 12549-1627
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578078077
Provider Name
Angelita Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
323 Angelo Dr, Montgomery, NY, 12549-1627
Phone Number
914-980-7802
Fax Number
Provider Enumeration Date
12/06/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
323 Angelo Dr
City
Montgomery
State
New York
Zip
12549-1627
Phone Number
914-980-7802
Fax Number
person
Provider Business Mailing Address Details
Address
323 Angelo Dr
City
Montgomery
State
New York
Zip
12549-1627
Phone Number
914-980-7802
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
290702 (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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