Individual provider · Type 1 NPI

Jeanetta Jackson

Licensed Practical Nurse · Plymouth Meeting, PA

NPI number 1174760904 Active

Practice location

2250 Hickory Rd
Plymouth Meeting, PA 19462-1047

Call (800) 879-4471 Map

Mailing address

816 Sundale Dr
Birmingham, AL 35235-2319

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X1-090823 (AL)

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 1174760904

Jeanetta Jackson's National Provider Identifier is 1174760904, issued on Jan 15, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Plymouth Meeting, PA. The record was last updated on Jan 15, 2009.