Individual provider · Type 1 NPI

Demeetra Jackson

Licensed Practical Nurse · Philadelphia, PA

NPI number 1316354129 Active

Practice location

7248 Elmwood Ave
Philadelphia, PA 19142-1533

Fax (267) 292-2936

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	PN294278 (PA)

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 1316354129

Demeetra Jackson's National Provider Identifier is 1316354129, issued on Jul 14, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 14, 2014.