Individual provider · Type 1 NPI

Melissa Jackson, LVN

Licensed Vocational Nurse · Austin, TX

NPI number 1194475012 Active

Practice location

1110 W William Cannon Dr Ste 303
Austin, TX 78745-3188

Fax (512) 899-2205

Mailing address

7216 White Panda Run
Del Valle, TX 78617-3581

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X170941 (TX)

Licensed Vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1194475012

Melissa Jackson, LVN's National Provider Identifier is 1194475012, issued on Mar 24, 2022. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Austin, TX. The record was last updated on Mar 24, 2022.