Jackson, Holly Jean

Jackson, Holly Jean is an sole proprietor health care provider with primary practice located at 5A Lafayette Avenue , Canandaigua NY 14424. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Jackson, Holly Jean can be contacted via phone (585) 905-1307.

Contact Information

Primary practice address
5A Lafayette Avenue Canandaigua NY 14424
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 308910 New York

Profile Details

NPI number 1417351453
LBN Legal business name Jackson, Holly Jean
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2014
Last updated Oct 20th, 2014 - about 12 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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