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Kinomi Sucara Jackson
Licensed Practical Nurse in Rochester, New York
NPI 1831585090

Kinomi Sucara Jackson is a Licensed Practical Nurse based in Rochester, NY. Kinomi Sucara Jackson practices in Rochester, NY. The NPI Number for Kinomi Sucara Jackson is 1831585090 and holds a License No. 321515 (New York).

The current practice location address for Kinomi Sucara Jackson is 15 Braddock St, Rochester, NY and can be reached out via phone at 585-284-2946.

Location: 15 Braddock St, Rochester, NY, 14612-2113
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831585090
Provider Name
Kinomi Sucara Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
15 Braddock St, Rochester, NY, 14612-2113
Phone Number
585-284-2946
Fax Number
Provider Enumeration Date
04/14/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15 Braddock St
City
Rochester
State
New York
Zip
14612-2113
Phone Number
585-284-2946
Fax Number
person
Provider Business Mailing Address Details
Address
15 Braddock St
City
Rochester
State
New York
Zip
14612-2113
Phone Number
585-284-2946
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
321515 (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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