Jackson, Lyndon
Jackson, Lyndon is an individual health care provider with primary practice located at 637 Washington St , Dorchester MA 02124-3510. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Oncology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Jackson, Lyndon can be contacted via phone (617) 825-9660.Contact Information
Primary practice address
637 Washington St
Dorchester MA 02124-3510
Phone: (617) 825-9660
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Oncology | 163WX0200X | RN2379126 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN2379126 | Massachusetts |
Profile Details
| NPI number | 1467394478 |
|---|---|
| LBN Legal business name | Jackson, Lyndon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2026 |
| Last updated | May 1st, 2026 - about 5 months 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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