Individual provider · Type 1 NPI

Nicole Lynn Jackson, RN

Registered Nurse · St. Louis, MO

NPI number 1386358380 Active

Practice location

5471 Dr Martin Luther King Dr
St. Louis, MO 63112-4265

Fax (314) 367-7010

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	2019006712 (MO)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1386358380

Nicole Lynn Jackson, RN's National Provider Identifier is 1386358380, issued on Jan 13, 2023. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in St. Louis, MO. The record was last updated on Jan 13, 2023.