MS. PETRINA M JACKSON LPN - NPI 1386881126 - Licensed Practical Nurse in Yonkers, NY

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

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About Ms. Petrina M Jackson Lpn NPPES

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

MS. PETRINA M JACKSON LPN (NPI 1386881126) is an individual licensed practical nurse in Yonkers, New York, licensed in New York (292190) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1386881126

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMS. PETRINA M JACKSONCredential: LPN

Location Address201 N BROADWAY APT 3NYonkers, NY 10701-2608

Mailing Address201 N Broadway Apt 3nYonkers, NY 10701-2608 · (917) 828-2233 · Fax (914) 751-7562

Phone(917) 828-2233

Fax(914) 751-7562

Sole ProprietorYes

Enumeration DateJanuary 15, 2009

✔ NPI 1386881126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 292190

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

201 N BROADWAY APT 3N, Yonkers, NY 10701

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Frequently Asked Questions

What is Petrina Jackson's NPI number?

The NPI number assigned to this healthcare provider is 1386881126, enumerated as an "individual" on January 15, 2009.

Where is the provider located?

The provider is located at 201 N BROADWAY APT 3N YONKERS, NY 10701 and the phone number is (917) 828-2233.

What is the provider's specialty?

Licensed Practical Nurse with taxonomy code 164W00000X.