Jackson, Alicia

Jackson, Alicia is an sole proprietor health care provider with primary practice located at 10731 130Th St , South Richmond Hill NY 11419-3131. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Jackson, Alicia can be contacted via phone (718) 835-6927.

Contact Information

Primary practice address
10731 130Th St South Richmond Hill NY 11419-3131
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 424652 New York

Profile Details

NPI number 1972876555
LBN Legal business name Jackson, Alicia
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2012
Last updated Feb 13th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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