Ms Rosa Lee Jackson, LPN is a
Licensed Vocational Nurse based in Baldwin, New York. Ms Rosa Lee Jackson is licensed to practice in New York (license number 200042) and her current practice location is
547 Summit Ave, Baldwin, New York. She can be reached at her office (for appointments etc.) via phone at
(516) 546-2674.
NPI number for Ms Rosa Lee Jackson is 1700034287 and her current mailing address is 547 Summit Ave, Baldwin, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700034287.
Provider's Profile
Full Name | Ms Rosa Lee Jackson |
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Gender | Female |
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Speciality | Licensed Vocational Nurse |
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Location | 547 Summit Ave, Baldwin, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700034287
- Provider Enumeration Date: 09/09/2008
- Last Update Date: 09/09/2008
Medical Identifiers
Medical identifiers for Ms Rosa Lee Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700034287 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164X00000X | Licensed Vocational Nurse | 200042 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Rosa Lee Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Rosa Lee Jackson, LPN 547 Summit Ave, Baldwin, NY 11510-3725 Ph: (516) 546-2674 | Ms Rosa Lee Jackson, LPN 547 Summit Ave, Baldwin, NY 11510-3725 Ph: (516) 546-2674 |
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