Dr. Colleen M Jackson , EdD
Licensed Practical Nurse • Syracuse, NY
Professional Overview & Biography Verified Profile Summary
Dr. Colleen Jackson, EdD is a registered healthcare professional specializing in Licensed Practical Nurse in Syracuse, NY. Practice services are available at 153 WOODBURY AVE under active NPI credentials.
Practice Location & Contact Primary Location
153 Woodbury Ave
Syracuse, NY 132061935
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Syracuse, NY
Practicing in Syracuse, NY (23738 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2025-05-20NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
NUCC Taxonomy Code: 101YA0400X
Definition to come...
Secondary Practice Locations
960 Salt Springs Rd
Syracuse, NY 132241696
Phone: 3154466250
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 153 WOODBURY AVE, SYRACUSE, NY 132061935 (Tel: 3152544884)
Registered at 153 WOODBURY AVE, SYRACUSE, NY 132061935 (Tel: 3152544884)
Recorded as COLLEEN JACKSON, EDD
Counselor (License #CASAC-38078 in NY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
153 Woodbury Ave
Syracuse, NY 132061935
Phone: 3152544884
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