Individual provider · Type 1 NPI

Lashanda Janice Jackson

Licensed Practical Nurse · Center Line, MI

NPI number 1225525603 Active

Practice location

8033 E 10 Mile Rd Ste 114
Center Line, MI 48015-1454

Fax (586) 756-6933

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	4703101476 (MI)

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.

3 other providers at this address

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About NPI 1225525603

Lashanda Janice Jackson's National Provider Identifier is 1225525603, issued on Apr 20, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Center Line, MI. The record was last updated on Apr 20, 2018.