Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alesia Jacks

Individual provider Addiction (Substance Use Disorder) Registered Nurse · NPI 1477117869

Alesia Jacks is an Addiction (Substance Use Disorder) Registered Nurse in Valley Cottage, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019

Practice location Address checks out

706 Executive Blvd
Valley Cottage, NY 10989-2038
Phone: (845) 362-3904
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Registered Nurse (primary) Taxonomy 163WA0400X · Licence 684889 (NY)

Record details

NPI number1477117869
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 1, 2019
Last updated in NPPESMay 1, 2019

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