Individual provider · Type 1 NPI

Kirstie Brooke Jackson

Licensed Practical Nurse · Greenville, SC

NPI number 1265086953 Active

Practice location

41 Park Creek Dr
Greenville, SC 29605-4270

Mailing address

258 Quail Rd
Gray Court, SC 29645-4253

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X48357 (SC)

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 1265086953

Kirstie Brooke Jackson's National Provider Identifier is 1265086953, issued on Jul 31, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Greenville, SC. The record was last updated on Jul 31, 2019.