Individual provider · Type 1 NPI

Latrice Jackson

Registered Nurse · Sauk Village, IL

NPI number 1174352280 Active

Practice location

2010 216th St
Sauk Village, IL 60411-4506

Mailing address

14200 S Parnell Ave
Riverdale, IL 60827-2313

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X041398810 (IL)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1174352280

Latrice Jackson's National Provider Identifier is 1174352280, issued on Jul 29, 2024. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Sauk Village, IL. The record was last updated on Jul 29, 2024.