IndividualActive
Alesia Jacks
NPI 1477117869 · Addiction (Substance Use Disorder) Registered Nurse · Valley Cottage, NY
Provider details
- NPI number
- 1477117869
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 684889 (NY)
Practice location
706 Executive Blvd
Valley Cottage, NY 10989-2038
Phone: (845) 362-3904
Mailing address
706 Executive Blvd
Valley Cottage, NY 10989-2038
Registry dates
- Enumerated
- 2019-05-01
- Last updated
- 2019-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.