Individual provider · Type 1 NPI

Diamond Alyssia Jackson, LPN

Licensed Practical Nurse · Knoxville, TN

NPI number 1033930797 Active

Practice location

2018 Western Ave
Knoxville, TN 37921-5718

Fax (865) 544-0480

Mailing address

1923 Sulphur Springs Rd
Morristown, TN 37813-5654

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X101092 (TN)

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 1033930797

Diamond Alyssia Jackson, LPN's National Provider Identifier is 1033930797, issued on Oct 24, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Knoxville, TN. The record was last updated on Oct 24, 2024.