ARIELLE LASHAY JACKSON
NPI 1093272502
Student in an Organized Health Care Education/Training Program in Watertown, NY

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since February 21, 2019

167 POLK ST STE 300, WATERTOWN, NY 13601(315) 782-7445(315) 779-1184 Get Directions Write a Review

NPPES record last updated: February 21, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Arielle Lashay Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARIELLE LASHAY JACKSON (NPI 1093272502) is an individual student in an organized health care education/training program in Watertown, New York and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1093272502

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameARIELLE LASHAY JACKSON

Location Address167 POLK ST STE 300Watertown, NY 13601-2770

Mailing AddressPo Box 6550Watertown, NY 13601-6550 · (315) 782-7445 · Fax (315) 779-1184

Phone(315) 782-7445

Fax(315) 779-1184

Sole ProprietorNo

Enumeration DateFebruary 21, 2019

✔ NPI 1093272502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

167 POLK ST STE 300, Watertown, NY 13601

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