Gerri Jackson, LPNn
Licensed Practical Nurse in Williamsville, NY. Individual provider (NPI-1).
NPI number1235656307
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1235656307
- Entity type
- Individual (NPI-1)
- Name
- Gerri Jackson
- Credential
- LPNn
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2017
- Last updated
- Jul 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 294359 | NY | Yes |
Practice location
2250 Wehrle Dr Ste 1Williamsville, NY 14221-7034
Phone 716-276-2123
Mailing address
2250 Wehrle Dr Ste 1Williamsville, NY 14221-7034
Phone 716-276-2123
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 603 Licensed Practical Nurse providers in Williamsville · All 4,124 providers in Williamsville
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