Individual provider · Type 1 NPI

Debbie Jackson, LPN

Licensed Practical Nurse · Detroit, MI

NPI number 1376941187 Active

Practice location

12800 E Warren Ave
Detroit, MI 48215-2061

Call (313) 824-8000 Map

Fax (313) 824-5589

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703108555 (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 1376941187

Debbie Jackson, LPN's National Provider Identifier is 1376941187, issued on Dec 10, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Detroit, MI. The record was last updated on Dec 10, 2014.