Individual provider · Type 1 NPI

Iman Aliya Jackson, L.P.N.

Licensed Practical Nurse · Plymouth Meeting, PA

NPI number 1558569749 Active

Practice location

2250 Hickory Rd, Suite 240
Plymouth Meeting, PA 19462-1047

Call (800) 879-4471 Map

Mailing address

810 Stirling St
Coatesville, PA 19320-3521

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN274139 (PA)

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 1558569749

Iman Aliya Jackson, L.P.N.'s National Provider Identifier is 1558569749, issued on Jul 10, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Plymouth Meeting, PA. The record was last updated on Jul 10, 2007.