Individual provider · Type 1 NPI

Melissa Jackson

Licensed Practical Nurse · Columbus, OH

NPI number 1063289148 Active

Practice location

1515 E Broad St
Columbus, OH 43205-1550

Call (614) 437-9797 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN.149975.MEDS-IV (OH)

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 1063289148

Melissa Jackson's National Provider Identifier is 1063289148, issued on Dec 7, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Columbus, OH. The record was last updated on Dec 7, 2023.