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Miss Ebony Marie Jackson, LPN
Licensed Practical Nurse in Rochester, New York
NPI 1699094326

Ebony Marie Jackson is a Licensed Practical Nurse based in Rochester, NY. Ebony Marie Jackson practices in Rochester, NY and has the professional credentials of LPN. The NPI Number for Ebony Marie Jackson is 1699094326 and holds a License No. 299869-1 (New York).

The current practice location address for Ebony Marie Jackson is 39 Dunbar St, Rochester, NY and can be reached out via phone at 585-789-0302 and via fax at 585-341-2365.

Location: 39 Dunbar St, Rochester, NY, 14619-2142
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699094326
Provider Name
Ebony Marie Jackson
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
39 Dunbar St, Rochester, NY, 14619-2142
Phone Number
585-789-0302
Fax Number
585-341-2365
Provider Enumeration Date
05/20/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
39 Dunbar St
City
Rochester
State
New York
Zip
14619-2142
Phone Number
585-789-0302
Fax Number
585-341-2365
person
Provider Business Mailing Address Details
Address
39 Dunbar St
City
Rochester
State
New York
Zip
14619-2142
Phone Number
585-789-0302
Fax Number
585-341-2365
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
299869-1 (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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