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

Individual provider Licensed Practical Nurse · NPI 1417351453

Holly Jean Jackson, LPN is a Licensed Practical Nurse in Canandaigua, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

5A Lafayette Ave
Canandaigua, NY 14424
Phone: (585) 905-1307
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 308910 (NY)

Record details

NPI number1417351453
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorYes
NPI enumeratedOctober 20, 2014
Last updated in NPPESOctober 20, 2014

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