Individual provider · Type 1 NPI

Misty A. Jackson, LPN

Licensed Practical Nurse · Huber Heights, OH

NPI number 1083843437 Active

Practice location

4301 Kitridge Rd
Huber Heights, OH 45424-6022

Mailing address

4301 Kitridge Rd.
Huber Heights, OH 45424

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN-133445-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 1083843437

Misty A. Jackson, LPN's National Provider Identifier is 1083843437, issued on Jul 7, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Huber Heights, OH. The record was last updated on Jul 7, 2009.