- Practice location
- 101 Highland Avenue, Apt 2N, Yonkers, NY 10705
- Phone
- 914-966-1094
- Fax
- 914-966-1094
- Last updated
- May 27, 2008
Stevon Collinsworth Jackson is a Licensed Practical Nurse based in Yonkers, NY. Stevon Collinsworth Jackson practices in Yonkers, NY and has the professional credentials of LICENSED PRACTICAL N. The NPI Number for Stevon Collinsworth Jackson is 1821256926 and holds a License No. 2862591 (NY). The current practice location address for Stevon Collinsworth Jackson is 101 Highland Avenue, Apt 2N, Yonkers, NY 10705 and can be reached out via phone at 914-966-1094 and via fax at 914-966-1094.
Provider Profile Details
- NPI Number
- 1821256926
- Provider Name
- Stevon Collinsworth Jackson
- Credential
- LICENSED PRACTICAL N
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 101 Highland Avenue, Apt 2N, Yonkers, NY 10705
- Phone Number
- 914-966-1094
- Fax Number
- 914-966-1094
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 27, 2008
- Last Update Date
- May 27, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 101 Highland Avenue
Apt 2N
Yonkers, NY 10705 - City
- Yonkers
- State
- New York
- Zip
- 10705
- Phone Number
- 914-966-1094
- Fax Number
- 914-966-1094
Provider Business Mailing Address Details
- Address
- 101 Highland Avenue
Apt 2N
Yonkers, NY 10705 - City
- Yonkers
- State
- NY
- Zip
- 10705
- Phone Number
- 914-966-1094
- Fax Number
- 914-966-1094
License Information
- License Number
- 2862591
- License State
- NY
- Taxonomy
- Licensed Practical Nurse · 164W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mr. Stevon C Jackson, LICENSED PRACTICAL N?
The NPI number of Mr. Stevon C Jackson, LICENSED PRACTICAL N is 1821256926. It was assigned on May 27, 2008 and is currently active in the NPPES registry.
What is the specialty of Mr. Stevon C Jackson, LICENSED PRACTICAL N?
Mr. Stevon C Jackson, LICENSED PRACTICAL N is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in NY under license number 2862591.
Where does Mr. Stevon C Jackson, LICENSED PRACTICAL N practice?
The practice location is 101 Highland Avenue, Apt 2N, Yonkers, NY 10705. The office can be reached at 914-966-1094 (phone) or 914-966-1094 (fax).
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 1821256926 directly on the NPPES registry website.