Jackson, Kay Lyn

Jackson, Kay Lyn is an sole proprietor health care provider with primary practice located at 30 Montgomery Ave , Mastic NY 11950-2606. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Jackson, Kay Lyn can be contacted via phone (631) 433-2540.

Contact Information

Primary practice address
30 Montgomery Ave Mastic NY 11950-2606
Phone: (631) 433-2540
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 276033-1 New York

Profile Details

NPI number 1992933477
LBN Legal business name Jackson, Kay Lyn
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2009
Last updated Jun 23rd, 2009 - about 17 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.

Request for update

Popular Providers