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

Lisa Jaeckle

Individual provider Licensed Practical Nurse · NPI 1003356072

Lisa Jaeckle is a Licensed Practical Nurse in Jamestown, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017

Practice location Address checks out

220 Fluvanna Ave
Jamestown, NY 14701-2052
Phone: (716) 487-1131
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 204983 (NY)

Record details

NPI number1003356072
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 24, 2017
Last updated in NPPESFebruary 24, 2017
Mailing address220 Fluvanna Ave, Jamestown, NY 14701-2052

Other providers in Jamestown