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1497405443
KERITA JACKSON
JAMAICA, NY
NPI
1497405443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F349347)
Enumeration Date
2022-03-24
Last Update Date
2022-03-24
Business Address
KERITA JACKSON FNP
97-04 SUTPHIN BOULEVARD
JAMAICA, NY 11435-4721
Phone number: 718-657-7088
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Mailing Address
KERITA JACKSON FNP
60 MADISON AVENUE 5TH FLOOR
NEW YORK, NY 10010-1600
Phone number: 212-545-2400
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