Jackson, Natasha Ann

Jackson, Natasha Ann is an sole proprietor health care provider with primary practice located at 4 Sunpath Way , Rochester NY 14624-2495. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Jackson, Natasha Ann can be contacted via phone (585) 865-5378.

Contact Information

Primary practice address
4 Sunpath Way Rochester NY 14624-2495
Phone: (585) 865-5378
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 655566 New York

Profile Details

NPI number 1912038431
LBN Legal business name Jackson, Natasha Ann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
Last updated Mar 4th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912038431 NPPES
New York MEDICAID 02331217

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