Jackson, Eileen

Jackson, Eileen is an individual health care provider with primary practice located at 650 Commack Rd , Commack NY 11725-5404. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jackson, Eileen can be contacted via phone (631) 623-4000.

Contact Information

Primary practice address
650 Commack Rd Commack NY 11725-5404
Phone: (631) 623-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 341567 New York

Profile Details

NPI number 1124555271
LBN Legal business name Jackson, Eileen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2017
Last updated May 20th, 2017 - about 9 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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