DR. STARR JACKSON
Nurse Anesthetist, Certified Registered
Active
Individual
NPI: 1578197588
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse - General Practice | 163WG0000X | No | 345211 (NY) |
| Family Medicine | 207Q00000X | No | 345211 (NY) |
| Pain Medicine - Interventional Pain Medicine | 208VP0014X | No | 345211 (NY) |
| Nurse Anesthetist, Certified Registered | 367500000X | Yes | 663663 (NY) |
Frequently Asked Questions
NPI 1578197588 is the National Provider Identifier for DR. STARR JACKSON, a Nurse Anesthetist, Certified Registered provider located in Staten Island, NY. This NPI was enumerated on February 28, 2020.
DR. STARR JACKSON practices at 2627 HYLAN BLVD, Staten Island, NY 10306.
Quick Facts
- NPI
- 1578197588
- Type
- Individual
- Enumerated
- Feb 28, 2020
- Last Updated
- Feb 17, 2025
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