Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kinomi Sucara Jackson

Individual provider Licensed Practical Nurse · NPI 1831585090

Kinomi Sucara Jackson is a Licensed Practical Nurse in Rochester, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

15 Braddock St
Rochester, NY 14612-2113 Not confirmed with CMS for 11 years — call before visiting
Phone: (585) 284-2946
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 321515 (NY)

Record details

NPI number1831585090
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 14, 2015
Last updated in NPPESApril 14, 2015

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