Patrice Jackson, NP Valid NPI

Individual provider · Adult Health Nurse Practitioner · New Hyde Park, NY

NPI

1194328872

Type

Individual (Type 1)

Primary specialty

Adult Health Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LA2200X

License number

310015 (NY)

Sex

Female

Sole proprietor

Yes

Enumerated

2020-11-17

Last updated

2023-06-27