Olivia Monica Jackson
Olivia Monica Jackson is a Licensed Practical Nurse in Laurelton, New York. Licensed in New York. Registered with an NPI since 2021.
- Licensed in
- NY
- In the registry since
- 2021
Practice location Address checks out
13136 232nd StLaurelton, NY 11413-1836
Phone: (646) 761-4946
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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 337777 (NY) |
|---|
Record details
| NPI number | 1629730312 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 10, 2021 |
| Last updated in NPPES | October 10, 2021 |
| Certification date | October 10, 2021 |
| Mailing address | 13136 232nd St, Laurelton, NY 11413-1836 |
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