Individual provider · Type 1 NPI
Vesta Jackson
Licensed Practical Nurse · Indianapolis, IN
NPI number
1083940217
Active
Practice location
2626 E 46th St, Ste J
Indianapolis, IN 46205-2380
Mailing address
4749 Amesbury Pl
Noblesville, IN 46062-1104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 27059456A (IN) |
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 1083940217
Vesta Jackson's National Provider Identifier is 1083940217, issued on Oct 22, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Indianapolis, IN. The record was last updated on Oct 22, 2009.