MS. CARMEN B. JACKSON FNP NPI 1205844347

NPI Information

NPI: 1205844347
Provider Name: MS. CARMEN B. JACKSON, FNP
Classification: Registered Nurse - 163WA2000X
Entity Type: Individual

Specialization: Administrator

PECOS Registration: Yes

Address:
1530 ROUTE 9
WAPPINGERS FALLS, NY
ZIP 12590
Phone: (845) 297-2511
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MS. Carmen B. Jackson, FNP is an administrator registered nurse in Wappingers Falls, NY. MS. Carmen B. Jackson, FNP NPI is 1205844347. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1530 ROUTE 9
WAPPINGERS FALLS, NY
ZIP 12590-131
Phone: (845) 297-2511

The NPI 1205844347 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WA2000X	Registered Nurse	Administrator	332370	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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