Individual provider · Type 1 NPI

Laquanta Jackson

Registered Nurse · Olympia Fields, IL

NPI number 1194372953 Active

Practice location

2430 Athens Rd
Olympia Fields, IL 60461-1954

Fax (708) 844-0264

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X041317085 (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 1194372953

Laquanta Jackson's National Provider Identifier is 1194372953, issued on Aug 26, 2019. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Olympia Fields, IL. The record was last updated on Aug 26, 2019.