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

Lisa Jackson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1730023789

Lisa Jackson is a Student in an Organized Health Care Education/Training Program in Mineola, New York. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

259 1st St
Mineola, NY 11501-3957
Phone: (516) 663-0333
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1730023789
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 17, 2026
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026

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