SHAWNMARIE LOREEN JACKSON

NEW YORK, NY
NPI1235291717
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  303892)
Enumeration Date2006-12-14
Last Update Date2007-07-08
Business Address
Ms. SHAWNMARIE LOREEN JACKSON NP
462 1ST AVE
NEW YORK, NY 10016-9196
Phone number: 212-562-2300
Mailing Address
Ms. SHAWNMARIE LOREEN JACKSON NP
11493 180TH ST
JAMAICA, NY 11434-1470
Phone number: 212-562-4678