Valerie Jackson
Individual provider Active NPI Registered Nurse · Peekskill, NY
NPI 1457078883 · NPPES record last updated Oct 26, 2022
Key facts
- NPI
- 1457078883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 824096-01 (NY)
- Practice address
- 3 Corporate Dr
Peekskill, NY 10566-1846 - Phone
- (914) 257-3500
- NPI assigned
- Oct 26, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 824096-01 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington Center for Recovery, Inc. | Current |
Accepting new patients |
Locations
3 Corporate Dr
Peekskill, NY 10566
Phone (914) 257-3500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 824096-01 | NY | Yes |
Addresses
Primary practice location
3 Corporate Dr
Peekskill, NY 10566-1846
Mailing address
3 Corporate Dr
Peekskill, NY 10566-1846
Other providers in Peekskill, NY
- Mohamed Imran Ibrahim
- Isaac'S Friends, Inc.
- I. Alex Iwaniw
- Christina Izzo
- Latoya Jack
- Merlyn Jacobs
- Hugo Jaiguay Torres
- Tanya James
- Nancy P. Jenks
- Orquidia Jerez
All providers in Peekskill, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.