Jackson, Jill

Jackson, Jill is an sole proprietor health care provider with primary practice located at 265 Kissel Ave , Staten Island NY 10310-1623. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Jackson, Jill can be contacted via phone (718) 490-4946.

Contact Information

Primary practice address
265 Kissel Ave Staten Island NY 10310-1623
Phone: (718) 490-4946
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 322734-1 New York

Profile Details

NPI number 1730559535
LBN Legal business name Jackson, Jill
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2015
Last updated Oct 6th, 2015 - about 11 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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