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

Dwight Sheldon Jack, RN

Individual provider General Practice Registered Nurse · NPI 1184883365

Dwight Sheldon Jack, RN is a General Practice Registered Nurse in Rosedale, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

24123 148th Ave
Rosedale, NY 11422-3265
Phone: (718) 723-1083
Fax: (718) 723-1083
Show map & directions

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

Specialties & licences

General Practice Registered Nurse (primary) Taxonomy 163WG0000X · Licence 548498 (NY)

Record details

NPI number1184883365
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedJune 3, 2008
Last updated in NPPESJune 3, 2008
Mailing address24123 148th Ave, Rosedale, NY 11422-3265

Other providers in Rosedale