Jackson, Eunique

Jackson, Eunique is an sole proprietor health care provider with primary practice located at 30 Coventry Ln , Central Islip NY 11722-2134. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Jackson, Eunique can be contacted via phone (631) 334-1131.

Contact Information

Primary practice address
30 Coventry Ln Central Islip NY 11722-2134
Phone: (631) 334-1131
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 307758-1 New York

Profile Details

NPI number 1467710137
LBN Legal business name Jackson, Eunique
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2012
Last updated May 1st, 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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