Individual provider · Type 1 NPI
Kim Janice Jackson
Licensed Practical Nurse · Brooklyn, NY
NPI number
1285944637
Active
Practice location
1135 East 82nd Street
Brooklyn, NY 11236
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 302935-1 (NY) |
| Nursing Care Agency | 251J00000X | 302935-1 (NY) |
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 1285944637
Kim Janice Jackson's National Provider Identifier is 1285944637, issued on Oct 19, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Brooklyn, NY. The record was last updated on Oct 19, 2010.