PATRICE JACKSON

NEW HYDE PARK, NY
NPI1194328872
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  310015)
Enumeration Date2020-11-17
Last Update Date2023-06-27
Business Address
PATRICE JACKSON NP
1985 MARCUS AVE
NEW HYDE PARK, NY 11042-2008
Phone number: 473-789-8983
Mailing Address
PATRICE JACKSON NP
1985 MARCUS AVE
NEW HYDE PARK, NY 11042-2008
Phone number: 347-378-9898