Individual provider · Type 1 NPI

Kengore Beatrica Jackson

Licensed Practical Nurse · Cincinnati, OH

NPI number 1326449828 Active

Practice location

1635 Sundale Ave
Cincinnati, OH 45239-4969

Call (513) 498-5863 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X147653 (OH)

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 1326449828

Kengore Beatrica Jackson's National Provider Identifier is 1326449828, issued on Sep 16, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Cincinnati, OH. The record was last updated on Sep 16, 2014.