What is Holly Jackson's NPI number?

Holly Jackson's National Provider Identifier (NPI) is 1417351453, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Holly Jackson's specialty?

Holly Jackson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).

Where is Holly Jackson located?

Holly Jackson's practice location on file with NPPES is 5a Lafayette Avenue, Canandaigua, NY 14424.

What is Holly Jackson's phone number?

The practice phone number listed in the NPPES registry for Holly Jackson is (585) 905-1307.

Is Holly Jackson's NPI active?

Yes — Holly Jackson's NPI (1417351453) is active in the NPPES registry as of the last update on 2014-10-20.

IndividualActive

Holly Jackson, LPN

NPI 1417351453 · Licensed Practical Nurse · Canandaigua, NY

Holly Jackson, LPN is a Licensed Practical Nurse provider in Canandaigua, NY (NPI 1417351453).

Provider details

NPI number: 1417351453
Entity type: Individual
Primary specialty: Licensed Practical NurseNursing Service Providers
Credential: LPN
Sex: Female
Sole proprietor: Yes
License: 308910 (NY)

Specialties & taxonomies

Licensed Practical NursePrimary164W00000XLicense 308910 (NY)
Nursing Service Providers

Profile Score

Detailed profile(75/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
11 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

5a Lafayette Avenue

Canandaigua, NY 14424

Phone: (585) 905-1307

Street-level locationGet directions

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Mailing address