JUDITH A JACKSON


Address: 1622 E 24th St, Brooklyn, NY 11229-2402
Phone: 5162851892

JUDITH A JACKSON (NPI# 1356585343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356585343
Entity Type Individual
Full Name JUDITH A JACKSON
Practice Address 1622 E 24th St
Brooklyn
NY 11229-2402
Mailing Address 26 Ash St
Valley Stream
NY 11580-4812
Practice Telephone 5162851892
Enumeration Date 2009-04-22
Last Update Date 2010-07-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163W00000X Registered Nurse 541413 NY Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY SCHOOL NURSING 1356585343 01

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Office Location

Street Address 1622 E 24TH ST
City BROOKLYN
State NY
Zip Code 11229-2402

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NPI Name Taxonomy Address Enumeration
1124262936 Genevieve Romeo Licensed Practical Nurse 1622 E 24th St, Brooklyn, NY 11229-2402 2009-04-23

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Taxonomy Information

Taxonomy Code 163W00000X
Grouping Nursing Service Providers
Classification Registered Nurse

Taxonomy Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

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Competitor

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City BROOKLYN
Zip Code 11229

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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