Jackson, Evelyn Anita

Jackson, Evelyn Anita is an individual health care provider with primary practice located at 400 Forest Ave , Buffalo NY 14213-1207. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, Nursing Service Providers / Psychiatric/Mental Health. Nursing Service Providers / Psychiatric/Mental Health is her primary health care specialty. Jackson, Evelyn Anita can be contacted via phone (716) 816-2444.

Contact Information

Primary practice address
400 Forest Ave Buffalo NY 14213-1207
Phone: (716) 816-2444
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 450058 New York
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 459958 New York

Profile Details

NPI number 1457113771
LBN Legal business name Jackson, Evelyn Anita
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2024
Last updated Jan 24th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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