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

Kinomi Sucara Jackson

Individual provider Licensed Practical Nurse · NPI 1831585090

Kinomi Sucara Jackson is a Licensed Practical Nurse in Rochester, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

15 Braddock St
Rochester, NY 14612-2113
Phone: (585) 284-2946
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 321515 (NY)

Record details

NPI number1831585090
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 14, 2015
Last updated in NPPESApril 14, 2015
Mailing address15 Braddock St, Rochester, NY 14612-2113

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