Individual provider · Type 1 NPI

Jaclyn Jackson

Licensed Practical Nurse · Monroe, MI

NPI number 1306228978 Active

Practice location

5259 Evergreen Dr
Monroe, MI 48161-3690

Call (734) 770-7318 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703115148 (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.

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About NPI 1306228978

Jaclyn Jackson's National Provider Identifier is 1306228978, issued on Jun 19, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Monroe, MI. The record was last updated on Jun 19, 2015.