Individual provider · Type 1 NPI

Kimberly Jackson, LPN

Licensed Practical Nurse · Boardman, OH

NPI number 1215422282 Active

Practice location

920 Boardman Canfield Rd
Boardman, OH 44512-4218

Mailing address

98 Westchester Dr
Austintown, OH 44515-3901

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN.158865 (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 1215422282

Kimberly Jackson, LPN's National Provider Identifier is 1215422282, issued on Jun 22, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Boardman, OH. The record was last updated on Jun 22, 2018.