Jackson, Gloria

Jackson, Gloria is an sole proprietor health care provider with primary practice located at 525 S 9Th St , Lindenhurst NY 11757-4529. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Jackson, Gloria can be contacted via phone (631) 226-3901.

Contact Information

Primary practice address
525 S 9Th St Lindenhurst NY 11757-4529
Phone: (631) 226-3901
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 252415 New York

Profile Details

NPI number 1356789713
LBN Legal business name Jackson, Gloria
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2013
Last updated Jun 7th, 2013 - about 11 years 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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