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

Ashley Rose Jackson, PNP

Individual provider Pediatric Nurse Practitioner · NPI 1003594235

Ashley Rose Jackson, PNP is a Pediatric Nurse Practitioner in Glens Falls, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

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Practice location Address checks out

84 Broad St Ste 3
Glens Falls, NY 12801-4381
Phone: (518) 798-9538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence F383547-01 (NY)

Record details

NPI number1003594235
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorNo
NPI enumeratedJuly 7, 2023
Last updated in NPPESAugust 23, 2023
Certification dateAugust 23, 2023
Mailing address32 Old Pond Rd, Rochester, NY 14625-1540

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