Individual provider · Type 1 NPI

Melanie Jackson

Administrator Registered Nurse · Gary, IN

NPI number 1326763863 Active

Practice location

1110 W 5th Ave
Gary, IN 46402-1723

Mailing address

1100 W 6th Ave
Gary, IN 46402-1711

Specialties and licenses

TaxonomyCodeLicense
Administrator Registered Nurse Primary 163WA2000X28276880A (IN)

Administrator Registered Nurse: Definition to come...

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About NPI 1326763863

Melanie Jackson's National Provider Identifier is 1326763863, issued on Oct 6, 2022. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Gary, IN. The record was last updated on Oct 6, 2022.