KINOMI SUCARA JACKSON
NPI 1831585090
Licensed Practical Nurse in Rochester, NY

Q: What is Kinomi Jackson's NPI number?

The NPI number for Kinomi Jackson is 1831585090. It was assigned to this individual provider in the NPPES registry on April 14, 2015.

Q: What is Kinomi 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 Kinomi Jackson was last updated on April 14, 2015. 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 April 14, 2015

15 BRADDOCK ST, ROCHESTER, NY 14612(585) 284-2946 Get Directions Write a Review

NPPES record last updated: April 14, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kinomi Sucara Jackson NPPES

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

KINOMI SUCARA JACKSON (NPI 1831585090) is an individual licensed practical nurse in Rochester, New York, licensed in New York (321515) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1831585090

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameKINOMI SUCARA JACKSON

Location Address15 BRADDOCK STRochester, NY 14612-2113

Mailing Address15 Braddock StRochester, NY 14612-2113 · (585) 284-2946

Phone(585) 284-2946

Sole ProprietorYes

Enumeration DateApril 14, 2015

✔ NPI 1831585090 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 · 321515

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.

15 BRADDOCK ST, Rochester, NY 14612

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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 Kinomi Jackson's NPI number?

The NPI number for Kinomi Jackson is 1831585090. It was assigned to this individual provider in the NPPES registry on April 14, 2015.

Where is Kinomi Jackson located?

Kinomi Jackson practices at 15 Braddock St, Rochester, NY 14612. The listed phone number is (585) 284-2946.

What is Kinomi 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 Kinomi Jackson was last updated on April 14, 2015. 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.