Gloria Jackson, LPN | |
525 S 9th St, Lindenhurst, NY 11757-4529 | |
(631) 226-3901 | |
Not Available |
Full Name | Gloria Jackson |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 525 S 9th St, Lindenhurst, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356789713 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 252415 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Gloria Jackson, LPN 525 S 9th St, Lindenhurst, NY 11757-4529 Ph: (631) 226-3901 | Gloria Jackson, LPN 525 S 9th St, Lindenhurst, NY 11757-4529 Ph: (631) 226-3901 |
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