Individual provider · Type 1 NPI

Nicole Jackson

Licensed Practical Nurse · Springfield, OH

NPI number 1124299680 Active

Practice location

1830 Southern Pkwy
Springfield, OH 45506-3115

Call (937) 360-7925 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X122408 (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 1124299680

Nicole Jackson's National Provider Identifier is 1124299680, issued on Mar 12, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Springfield, OH. The record was last updated on Mar 12, 2008.