Individual provider · Type 1 NPI
Lashelle Donella Jackson
Licensed Practical Nurse · Seattle, WA
NPI number
1114220894
Active
Practice location
1660 S Columbian Way
Seattle, WA 98108-1532
Mailing address
1715 Pensacola St, Unit B
Honolulu, HI 96822-2604
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | LP60046384 (WA) |
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 1114220894
Lashelle Donella Jackson's National Provider Identifier is 1114220894, issued on Dec 17, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Seattle, WA. The record was last updated on Mar 20, 2025.