Individual provider · Type 1 NPI
Tonya L. Jackson
Licensed Practical Nurse · Phoenix, AZ
NPI number
1235467945
Active
Practice location
3401 N 67th Ave
Phoenix, AZ 85033-4517
Mailing address
561 N. Sirrine St.
Mesa, AZ 85201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | LP965595 (AZ) |
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 1235467945
Tonya L. Jackson's National Provider Identifier is 1235467945, issued on Nov 19, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Phoenix, AZ. The record was last updated on Nov 19, 2009.