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

Vanessa Jackson

Individual provider Adult Care Home Facility · NPI 1003204678

Vanessa Jackson is an Adult Care Home Facility in Far Rockaway, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015
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Practice location Address checks out

2922 Falcon Ave
Far Rockaway, NY 11691-1845
Phone: (347) 576-9654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X · Licence 320584 (NY)

Record details

NPI number1003204678
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 5, 2015
Last updated in NPPESJanuary 5, 2015

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