Individual provider · Type 1 NPI

Tequila Jackson

Licensed Practical Nurse · Saginaw, MI

NPI number 1467197269 Active

Practice location

2444 Hermansau St
Saginaw, MI 48602-5824

Call (989) 482-7967 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703122547 (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 1467197269

Tequila Jackson's National Provider Identifier is 1467197269, issued on May 5, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Saginaw, MI. The record was last updated on May 5, 2022.