Individual provider · Type 1 NPI

Ashanti Jackson, LPN

Licensed Practical Nurse · Hampton, GA

NPI number 1023719812 Active

Practice location

11200 Tara Glynn Dr
Hampton, GA 30228-2686

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X2018040059 (MO)

Licensed Practical Nurse: 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.

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About NPI 1023719812

Ashanti Jackson, LPN's National Provider Identifier is 1023719812, issued on Mar 17, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Hampton, GA. The record was last updated on Mar 17, 2023.