HOLLY JEAN JACKSON LPN
NPI 1417351453
Licensed Practical Nurse in Canandaigua, NY

Q: What is Holly Jackson's NPI number?

The NPI number for Holly Jackson is 1417351453. It was assigned to this individual provider in the NPPES registry on October 20, 2014.

Q: What is Holly Jackson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Holly Jackson was last updated on October 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 20, 2014

5A LAFAYETTE AVENUE, CANANDAIGUA, NY 14424(585) 905-1307 Get Directions Write a Review

NPPES record last updated: October 20, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Holly Jean Jackson Lpn NPPES

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

HOLLY JEAN JACKSON LPN (NPI 1417351453) is an individual licensed practical nurse in Canandaigua, New York, licensed in New York (308910) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1417351453

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameHOLLY JEAN JACKSONCredential: LPN

Location Address5A LAFAYETTE AVENUECanandaigua, NY 14424

Mailing Address5a Lafayette AvenueCanandaigua, NY 14424 · (585) 905-1307

Phone(585) 905-1307

Sole ProprietorYes

Enumeration DateOctober 20, 2014

✔ NPI 1417351453 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 · 308910

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.

5A LAFAYETTE AVENUE, Canandaigua, NY 14424

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Jackson's NPI number?

The NPI number for Holly Jackson is 1417351453. It was assigned to this individual provider in the NPPES registry on October 20, 2014.

Where is Holly Jackson located?

Holly Jackson practices at 5A Lafayette Avenue, Canandaigua, NY 14424. The listed phone number is (585) 905-1307.

What is Holly Jackson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Holly Jackson was last updated on October 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.